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MARY RUSSO
NPI 1639818388
Counselor in Marlton, NJ

Active since June 01, 2022
925 ROUTE 73 N STE H, MARLTON, NJ 08053(609) 713-8763 Get Directions Write a Review

NPPES record last updated: June 1, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mary Russo NPPES

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

MARY RUSSO (NPI 1639818388) is an individual counselor in Marlton, New Jersey and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1639818388
Entity TypeIndividualFemale
Primary Taxonomy101Y00000X
Provider Legal NameMARY RUSSO
Location Address925 ROUTE 73 N STE HMarlton, NJ 08053-1277
Mailing Address925 Route 73 N Ste HMarlton, NJ 08053-1277 · (609) 713-8763
Phone(609) 713-8763
Sole ProprietorNo
Enumeration DateJune 1, 2022
NPPES CertifiedJune 1, 2022
✔ NPI 1639818388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers
Taxonomy Code101Y00000X
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
925 ROUTE 73 N STE H, Marlton, NJ 08053
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Other Identifiers 1

OtherR94585277161805NJ · Driver License

Other Providers at the Same Location NPPES 3

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

DANIELLE MARIE JACOBS
Behavior Analyst
925 ROUTE 73 N STE H
MARLTON, NJ 08053
Burlington County (732) 659-1159
JAYMIE LONG CADC
Counselor (Addiction (Substance Use Disorder))
925 ROUTE 73 N STE H
MARLTON, NJ 08053
Burlington County (856) 842-7881
GABRIELLA WOFFORD CADC
Counselor (Addiction (Substance Use Disorder))
925 ROUTE 73 N STE H
MARLTON, NJ 08053
Burlington County (856) 430-5234

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Russo's NPI number?

The NPI number for Mary Russo is 1639818388. It was assigned to this individual provider in the NPPES registry on June 1, 2022.

Where is Mary Russo located?

Mary Russo practices at 925 Route 73 N Ste H, Marlton, NJ 08053. The listed phone number is (609) 713-8763.

What is Mary Russo's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Mary Russo was last updated on June 1, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.