M. Kathleen Russo, LADC
NPI #1821428616 in Tilton, New Hampshire
Provider Information
- NPI Number
- 1821428616
- Entity Type
- Individual
- Name
- M. Kathleen Russo, LADC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC
- Enumeration Date
- Nov 15, 2013
- Last Updated
- Jul 21, 2015
Practice Location
- Address
- 322 W MAIN ST STE 101
- Address 2
- RIVERFRONT PLACE
- City
- Tilton
- State
- New Hampshire
- ZIP Code
- 03276-5048
- Phone
- (603) 860-1319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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