person
Mr. Kenneth Clyde Russell JR., CDCA
Addiction (Substance Use Disorder) Counselor in Columbus, Ohio
NPI 1033894324

Kenneth Clyde Russell JR. is an Addiction (Substance Use Disorder) Counselor based in Columbus, OH and is specialized in Addiction (Substance Use Disorder). Kenneth Clyde Russell JR. practices in Columbus, OH and has the professional credentials of CDCA. The NPI Number for Kenneth Clyde Russell JR. is 1033894324 and holds a License No. CDCA.184930 (Ohio).

The current practice location address for Kenneth Clyde Russell JR. is 1320 Parsons Ave, Columbus, OH and can be reached out via phone at 614-443-2777.

Location: 1320 Parsons Ave, Columbus, OH, 43205-2238
person
Provider Profile Details
NPI Number
1033894324
Provider Name
Kenneth Clyde Russell JR.
Credential
CDCA
Provider Entity Type
Individual
Gender
Male
Address
1320 Parsons Ave, Columbus, OH, 43205-2238
Phone Number
614-443-2777
Fax Number
Provider Enumeration Date
06/15/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1320 Parsons Ave
City
State
Zip
43206-3642
Phone Number
614-443-2777
Fax Number
person
Provider Business Mailing Address Details
Address
1320 Parsons Ave
City
State
Zip
43206-3642
Phone Number
614-443-2777
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.184930 (Ohio)
Definition
Definition to come...
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