Russa Ingris Kittredge

NPI #1942014238 in Corvallis, Oregon

Provider Information

NPI Number: 1942014238
Entity Type: Individual
Name: Russa Ingris Kittredge
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 5, 2025
Last Updated: Feb 5, 2025

Practice Location

Address: 257 SW MADISON AVE STE 230
City: Corvallis
State: Oregon
ZIP Code: 97333-4924
Phone: (541) 712-8652

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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