KATHERINE RUSSO

RANCHO CUCAMONGA, CA
NPI1841733029
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CA  ASW77827)
Additional Taxonomies104100000X Social Worker
1041C0700X Social Worker, Clinical
(Licence: CA  ASW77827)
Enumeration Date2016-11-21
Last Update Date2018-11-19
Business Address
KATHERINE RUSSO ACSW
9570 CENTER AVE STE 100
RANCHO CUCAMONGA, CA 91730-5814
Phone number: 909-980-4755
Mailing Address
KATHERINE RUSSO ACSW
9570 CENTER AVE STE 100
RANCHO CUCAMONGA, CA 91730-5814
Phone number: 909-980-4755