Kellie Marie Russo, CASAC-2 is an addiction (substance use disorder) counselor in Staten Island, NY. Kellie Marie Russo, CASAC-2 NPI is 1548825151. 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:
460 BRIELLE AVE
STATEN ISLAND, NY
ZIP 10314-427
Phone: (718) 412-3156
Fax: (718) 356-3155
The enumeration date for this NPI number is 5/8/2019 and was last updated on 5/8/2019.