Individual provider · Type 1 NPI
M. Kathleen Russo, LADC
Addiction (Substance Use Disorder) Counselor · Tilton, NH
NPI number
1821428616
Active
Practice location
322 W Main St Ste 101, Riverfront Place
Tilton, NH 03276-5048
Fax (603) 671-7361
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0445 (NH) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Tilton
About NPI 1821428616
M. Kathleen Russo, LADC's National Provider Identifier is 1821428616, issued on Nov 15, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tilton, NH. The record was last updated on Jul 21, 2015.