Search › Maine › 101YP2500X
Angela Russo, LCPC, CADC
NPI 1770828469 · on the registry since 2012 · sole proprietor
Practice
- Address
- 14 Main Street
Mars Hill, ME 04758 - Phone
- (207) 425-3880
- Organisation at this address
- Northern Lighthouse Inc.
The Northern Lighthouse IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 101YP2500X
101YP2500X
- Also registered as
- 101YA0400X
- Licence states on file
- ME
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-12-06
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 Maine