SearchCalifornia101YM0800X

Katherine Russo, ACSW

NPI 1841733029 · on the registry since 2016

Practice

Address
9570 Center Ave Ste 100
Rancho Cucamonga, CA 91730
Phone
(909) 980-4755
Organisation at this address
Trinity Youth Services
Inferred from a shared address, not stated in the registry.
Clinicians at this address
36

Additional practice sites

  • 859 Willard St, Quincy, MA

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
104100000X
1041C0700X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-19

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 California