LISSETH RUSSA

MAITLAND, FL
NPI1891061271
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: FL  IMH15818)
104100000X Social Worker
Enumeration Date2012-03-29
Last Update Date2018-03-17
Business Address
Mrs. LISSETH RUSSA MS, RMHI, CBHCMS
225 S SWOOPE AVE STE 211
MAITLAND, FL 32751-5786
Phone number: 407-622-0444
Mailing Address
Mrs. LISSETH RUSSA MS, RMHI, CBHCMS
8228 LOST LAKE DR.
ORLANDO, FL 32817-1384
Phone number: 862-754-7373