Christina Michelle Russo, LICSW Valid NPI

Individual provider · Clinical Social Worker · Lucedale, MS

NPI

1902156599

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

C8553 (MS)

Sex

Female

Sole proprietor

Yes

Enumerated

2012-09-11

Last updated

2022-05-31