| Gena Russo | |
|
2984 S Wabash St Denver CO 80231-4223 | |
| (860) 874-7149 | |
| Not Available |
| Full Name | Gena Russo |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2984 S Wabash St, Denver, Colorado |
| Authorized Official Name and Position | Gena Hope Russo (LICSENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8608747149 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gena Russo 2984 S Wabash St Denver CO 80231-4223 Ph: (860) 874-7149 | Gena Russo 2984 S Wabash St Denver CO 80231-4223 Ph: (860) 874-7149 |
| NPI Number | 1205109667 |
|---|---|
| Provider Enumeration Date | 02/15/2012 |
| Last Update Date | 02/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205109667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1957 (Colorado) | Primary |
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