Jennifer Lynn Russo, LPC, LCADC, ACS | |
13 Stillwater Rd, Blairstown, NJ 07825-9554 | |
(908) 310-4323 | |
Not Available |
Full Name | Jennifer Lynn Russo |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 13 Stillwater Rd, Blairstown, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1073975934 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 37PC00571300 (New Jersey) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 37LC00239900 (New Jersey) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Jennifer Lynn Russo, LPC, LCADC, ACS 13 Stillwater Rd, Blairstown, NJ 07825-9554 Ph: (908) 310-4323 | Jennifer Lynn Russo, LPC, LCADC, ACS 13 Stillwater Rd, Blairstown, NJ 07825-9554 Ph: (908) 310-4323 |
Jackie Re, LCADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 100 Mohican Rd, Blairstown, NJ 07825 Phone: 908-295-8097 | |
Lara Beth Yeager, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 31 Jacksonburg Rd, Blairstown, NJ 07825 Phone: 908-878-7961 |