Ms Susan K Russo, LPCC | |
36 State Rd. 522, #6, El Prado, NM 87529 | |
(505) 737-9151 | |
(505) 751-0846 |
Full Name | Ms Susan K Russo |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 36 State Rd. 522, El Prado, New Mexico |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1538292982 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0088901 (New Mexico) | Primary |
Entity Name | Hidalgo Medical Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1306843180 PECOS PAC ID: 4587572250 Enrollment ID: O20040303001246 |
Mailing Address | Practice Location Address |
---|---|
Ms Susan K Russo, LPCC Hc 74 Box 22615, El Prado, NM 87529-9526 Ph: (505) 776-3826 | Ms Susan K Russo, LPCC 36 State Rd. 522, #6, El Prado, NM 87529 Ph: (505) 737-9151 |
Angela D. Oliver, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 244 Tune Drive, El Prado, NM 87529 Phone: 575-751-9858 Fax: 575-751-9858 | |
Terry Barsano, Counselor Medicare: Medicare Enrolled Practice Location: 1299 B Paseo Del Pueblo Norte, El Prado, NM 87529 Phone: 575-758-7263 | |
Francine Anaya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Varos Ln, El Prado, NM 87529 Phone: 575-770-5104 | |
James D Schloss Jr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 Blueberry Hill Rd, El Prado, NM 87529 Phone: 575-425-1909 | |
Shelley I Goad, Counselor Medicare: Not Enrolled in Medicare Practice Location: 259 Blueberry Hill Rd, El Prado, NM 87529 Phone: 214-622-7543 | |
Ms. Sandra Cecelia Bodge, CASE MANAGER Counselor Medicare: Not Enrolled in Medicare Practice Location: 67 Sugar Ln, El Prado, NM 87529 Phone: 575-770-2404 | |
Gaye Alexander Hawkins, LPC, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: Hc 74 Box 21007, 1014 La Cienega, El Prado, NM 87529 Phone: 985-264-6846 |