BONNIE RUSSO

PORT SAINT LUCIE, FL
NPI1366922288
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: FL  SW15096)
Additional Taxonomies171M00000X Case Manager/Care Coordinator
(Licence: FL  SW15096)
1041C0700X Social Worker, Clinical
(Licence: FL  SW15096)
104100000X Social Worker
(Licence: FL  SW15096)
Enumeration Date2018-08-20
Last Update Date2025-11-25
Business Address
BONNIE RUSSO LCSW, QS
1729 NW SAINT LUCIE WEST BLVD # 1276
PORT SAINT LUCIE, FL 34986-2501
Phone number: 561-412-9281
Mailing Address
BONNIE RUSSO LCSW, QS
1729 NW SAINT LUCIE WEST BLVD # 1276
PORT SAINT LUCIE, FL 34986-2501
Phone number: 561-412-9281