Gordon Kenneth Russell

NPI #1740069673 in Groveport, Ohio

Provider Information

NPI Number
1740069673
Entity Type
Individual
Name
Gordon Kenneth Russell
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Enumeration Date
Sep 28, 2023
Last Updated
Sep 28, 2023

Practice Location

Address
6020 GROVEPORT RD
State
Ohio
ZIP Code
43125-1005
Phone
(614) 567-6274

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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