MICHAEL R RUSSO

JAMESTOWN, NY
NPI1396873584
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: NY  003830)
Enumeration Date2007-03-01
Last Update Date2007-07-08
Business Address
-- MICHAEL R RUSSO
200 E 3RD ST
JAMESTOWN, NY 14701-5433
Phone number: 716-661-8330
Mailing Address
-- MICHAEL R RUSSO
7 N ERIE ST
MAYVILLE, NY 14757-1090
Phone number: