Russo, Andres

Russo, Andres is an sole proprietor health care provider with primary practice located at 12 School St , Lawrence MA 01841-5042. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Agencies / Community/Behavioral Health. Agencies / Community/Behavioral Health is his primary health care specialty. Russo, Andres can be contacted via phone (978) 382-0522.

Contact Information

Primary practice address
12 School St Lawrence MA 01841-5042
Phone: (978) 382-0522
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Agencies / Community/Behavioral Health 251S00000X Massachusetts

Profile Details

NPI number 1710353370
LBN Legal business name Russo, Andres
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 18th, 2015
Last updated Aug 18th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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