National Provider Identifier
Michael R Russo
Michael R Russo is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Jamestown, NY and a listed phone number of (716) 661-8330.
Source: public NPPES record, last updated July 08, 2007. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1396873584
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- March 01, 2007
- Last Updated
- July 08, 2007
Practice Location
- 200 E 3Rd St
- Jamestown, NY 14701-5433
Phone: (716) 661-8330
Mailing Address
- 7 N Erie St
- Mayville, NY 14757-1090
Specialties
- Mental Health Counselor (101YM0800X)
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Biography
Michael R. Russo is a mental health counselor in Jamestown, New York. The Jamestown clinic tied to his public record is part of Chautauqua County Mental Hygiene, which the county identifies as a Certified Community Behavioral Health Center offering integrated outpatient mental health and chemical-dependency services for adults, adolescents, children, and families.
Full Record
- NPI
- 1396873584
- Entity Type
- Individual
- Last Name
- Russo
- First Name
- Michael
- Middle Name
- R
- Mailing Street Address
- 7 N Erie St
- Mailing City
- Mayville
- Mailing State
- NY
- Mailing ZIP Code
- 14757-1090
- Mailing Country
- US
- Practice Street Address
- 200 E 3Rd St
- Practice City
- Jamestown
- Practice State
- NY
- Practice ZIP Code
- 14701-5433
- Practice Country
- US
- Practice Phone
- (716) 661-8330
- Enumeration Date
- March 01, 2007
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- Yes
- Taxonomies
- Mental Health Counselor (101YM0800X)