LESLIE KIM RUSSO QMHP - NPI 1073335667 - Counselor in Grants Pass, OR

Q: What is Leslie Russo's NPI number?

The NPI number for Leslie Russo is 1073335667. It was assigned to this individual provider in the NPPES registry on October 25, 2024.

Q: What is Leslie Russo's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Leslie Russo was last updated on October 25, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Leslie Kim Russo Qmhp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LESLIE KIM RUSSO QMHP (NPI 1073335667) is an individual mental health provider in Grants Pass, Oregon and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1073335667

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameLESLIE KIM RUSSOCredential: QMHP

Location Address1545 HARBECK RDGrants Pass, OR 97527-5605

Mailing Address1215 Sw G StGrants Pass, OR 97526-2544 · (541) 476-2373

Phone(541) 476-2373

Sole ProprietorNo

Enumeration DateOctober 25, 2024

NPPES CertifiedOctober 25, 2024

✔ NPI 1073335667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

1545 HARBECK RD, Grants Pass, OR 97527

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MOLLIE FAYE TERPENING LPC

Counselor (Professional)