Individual provider · Type 1 NPI

Gordon Kenneth Russell

Addiction (Substance Use Disorder) Counselor · Groveport, OH

NPI number 1740069673 Active

Practice location

6020 Groveport Rd
Groveport, OH 43125-1005

Call (614) 567-6274 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X185707 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1740069673

Gordon Kenneth Russell's National Provider Identifier is 1740069673, issued on Sep 28, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Groveport, OH. The record was last updated on Sep 28, 2023.