Jennifer Russo, LSC

NPI 1205518297 · on the registry since 2023

Practice

Address: 2200 Grande Blvd Se Ste B
Rio Rancho, NM 87124
Phone: (505) 218-6383
Fax: (505) 636-6338
Organisation at this address: Grande Dentistry Llc
Gd Psych Services, Llc
Shelley Martinez, Lpcc, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 22

Registry record

Primary taxonomy: 101YS0200X
101YS0200X
Licence states on file: NM
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2023-08-01

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico