GABRIELLE RUSSO
NPI 1154041705
Counselor - Mental Health in Malden, MA
Active since September 01, 2022
About Gabrielle Russo NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GABRIELLE RUSSO (NPI 1154041705) is an individual mental health provider in Malden, Massachusetts and active in the NPI registry since September 2022.
NPPES Registry Identity
NPI1154041705
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameGABRIELLE RUSSO
Location Address350 CROSS STMalden, MA 02148-7917
Mailing Address350 Cross StMalden, MA 02148-7917
Phone(781) 322-9119
Sole ProprietorNo
Enumeration DateSeptember 1, 2022
NPPES CertifiedAugust 25, 2022
✔ NPI 1154041705 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
350 CROSS ST, Malden, MA 02148
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1154041705, enumerated as an "individual" on September 01, 2022.
The provider is located at 350 CROSS ST MALDEN, MA 02148 and the phone number is (781) 322-9119.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
