person
Gordon Kenneth Russell
Addiction (Substance Use Disorder) Counselor in Groveport, Ohio
NPI 1740069673

Gordon Kenneth Russell is an Addiction (Substance Use Disorder) Counselor based in Groveport, OH and is specialized in Addiction (Substance Use Disorder). Gordon Kenneth Russell practices in Groveport, OH. The NPI Number for Gordon Kenneth Russell is 1740069673 and holds a License No. 185707 (Ohio).

The current practice location address for Gordon Kenneth Russell is 6020 Groveport Rd, Groveport, OH and can be reached out via phone at 614-567-6274.

Location: 6020 Groveport Rd, Groveport, OH, 43125-1005
person
Provider Profile Details
NPI Number
1740069673
Provider Name
Gordon Kenneth Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
6020 Groveport Rd, Groveport, OH, 43125-1005
Phone Number
614-567-6274
Fax Number
Provider Enumeration Date
09/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6020 Groveport Rd
City
State
Zip
43125-1005
Phone Number
614-567-6274
Fax Number
person
Provider Business Mailing Address Details
Address
6020 Groveport Rd
City
State
Zip
43125-1005
Phone Number
614-567-6274
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
185707 (Ohio)
Definition
Definition to come...
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