| Kerri Russell-russo, Lcsw & Associates Psychotherapy Services, Llc | |
|
35 Beaverson Blvd Ste 4d Brick NJ 08723-7857 | |
| (732) 477-1980 | |
| (732) 477-4163 |
| Full Name | Kerri Russell-russo, Lcsw & Associates Psychotherapy Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 35 Beaverson Blvd Ste 4d, Brick, New Jersey |
| Authorized Official Name and Position | Kerri Lynn Russo (LCSW/OWNER) |
| Authorized Official Contact | 9084337419 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kerri Russell-russo, Lcsw & Associates Psychotherapy Services, Llc 121 Oak Glen Rd Toms River NJ 08753-3478 Ph: (908) 433-7419 | Kerri Russell-russo, Lcsw & Associates Psychotherapy Services, Llc 35 Beaverson Blvd Ste 4d Brick NJ 08723-7857 Ph: (732) 477-1980 |
| NPI Number | 1679183263 |
|---|---|
| Provider Enumeration Date | 08/07/2020 |
| Last Update Date | 10/07/2020 |
| Certification Date | 10/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679183263 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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