Nicole Russo is an addiction (substance use disorder) counselor in Philadelphia, PA. Nicole Russo NPI is 1235647314. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
9815 ROOSEVELT BLVD
PHILADELPHIA, PA
ZIP 19114-035
Phone: (616) 644-6464
The enumeration date for this NPI number is 1/11/2018 and was last updated on 1/11/2018.