| Rebecca L Russo, BA | |
|
30 Peck Rd, Torrington, CT 06790-6123 | |
| (203) 558-5061 | |
| (203) 558-5061 |
| Full Name | Rebecca L Russo |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 13 Years |
| Location | 30 Peck Rd, Torrington, Connecticut |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831455146 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Ct Kids Matter Llc | 5698143923 | 6 |
| Entity Name | Ct Kids Matter Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710452255 PECOS PAC ID: 5698143923 Enrollment ID: O20240222002712 |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca L Russo, BA 141 E Main St, Waterbury, CT 06702-2310 Ph: (203) 574-9000 | Rebecca L Russo, BA 30 Peck Rd, Torrington, CT 06790-6123 Ph: (203) 558-5061 |
Jessica Repass, Counselor Medicare: Not Enrolled in Medicare Practice Location: 52 Peck Rd Rear, Torrington, CT 06790 Phone: 860-245-1158 | |
Jaymie Naclerio, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 30 Peck Rd, Torrington, CT 06790 Phone: 860-294-9060 | |
Paul Ryan, Counselor Medicare: Accepting Medicare Assignments Practice Location: 58 High St, Torrington, CT 06790 Phone: 860-496-2100 Fax: 860-496-2111 | |
Mrs. Michelle Carmene Delices, LPCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 310 New Litchfield St Ph, Torrington, CT 06790 Phone: 347-296-5355 | |
Michael Wolftrand, Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Litchfield St, Torrington, CT 06790 Phone: 860-489-3391 | |
Ebony N Wilson, LPC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 65 Highfield Dr, Torrington, CT 06790 Phone: 860-626-5002 | |
Cassidy Rose Parent Camille, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 High St, Torrington, CT 06790 Phone: 860-496-2100 |