| Nicole Russo, | |
|
9815 Roosevelt Blvd, Philadelphia, PA 19114-1035 | |
| (616) 644-6464 | |
| Not Available |
| Full Name | Nicole Russo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 9815 Roosevelt Blvd, Philadelphia, Pennsylvania |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235647314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Russo, 680 American Ave, King Of Prussia, PA 19406-4023 Ph: (616) 644-6464 | Nicole Russo, 9815 Roosevelt Blvd, Philadelphia, PA 19114-1035 Ph: (616) 644-6464 |
Dr. Larisa Surenovna Dzhavakova, M.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 1701 A Grant Ave, Philadelphia, PA 19115 Phone: 215-464-3838 Fax: 215-464-3899 | |
Lorraine Braxton, Counselor Medicare: Not Enrolled in Medicare Practice Location: 4900 Wyalusing Ave, Philadelphia, PA 19131 Phone: 215-473-7033 | |
Mr. David Joel Silbermann, M.ED, L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 8001 Roosevelt Blvd, Suite 205-207, Philadelphia, PA 19152 Phone: 215-332-1914 Fax: 215-332-1873 | |
Ms. Nicole Ivory Goicuria, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2514 N Broad St, Philadelphia, PA 19132 Phone: 215-599-2808 Fax: 215-599-1041 | |
Lori L Reyes, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2927 N 5th St, Philadelphia, PA 19133 Phone: 484-221-9136 Fax: 484-221-9130 | |
Gloria I Jimenez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2152 N Front St, Philadelphia, PA 19122 Phone: 484-221-9136 Fax: 484-221-9130 | |
Ms. Bernice B Tett, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1734 S Chadwick St, Philadelphia, PA 19145 Phone: 484-300-8699 |