Russo, Kristin Irene

Russo, Kristin Irene is an individual health care provider with primary practice located at 9 Taunton Grn Unit 5 , Taunton MA 02780-3232. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Russo, Kristin Irene can be contacted via phone (716) 720-7051.

Contact Information

Primary practice address
9 Taunton Grn Unit 5 Taunton MA 02780-3232
Phone: (716) 720-7051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 100546 New York
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 1041C0700X 123924 Massachusetts

Profile Details

NPI number 1750737573
LBN Legal business name Russo, Kristin Irene
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2016
Last updated Oct 23rd, 2022 - about 2 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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