| NPI | 1326612938 |
|---|---|
| Doing Business As | ANDREA RUSSO LPC |
| Entity Type | Organization |
| Authorized Contact | ANDREA RUSSO CEO 678-856-6788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |