M. Kathleen Russo, LADC
Counselor, Addiction (Substance Use Disorder) in Tilton, New Hampshire
1821428616- Practice location
- 322 W Main St Ste 101, Riverfront Place, Tilton, NH 03276-5048
- Phone
- 603-860-1319
- Fax
- 603-671-7361
- Last updated
- July 21, 2015
M. Kathleen Russo is a Counselor, Addiction (Substance Use Disorder) based in Tilton, NH. M. Kathleen Russo practices in Tilton, NH and has the professional credentials of LADC. The NPI Number for M. Kathleen Russo is 1821428616 and holds a License No. 0445 (NH). The current practice location address for M. Kathleen Russo is 322 W Main St Ste 101, Riverfront Place, Tilton, NH 03276-5048 and can be reached out via phone at 603-860-1319 and via fax at 603-671-7361.
Provider Profile Details
- NPI Number
- 1821428616
- Provider Name
- M. Kathleen Russo
- Credential
- LADC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 322 W Main St Ste 101, Riverfront Place, Tilton, NH 03276-5048
- Phone Number
- 603-860-1319
- Fax Number
- 603-671-7361
- Primary Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- November 15, 2013
- Last Update Date
- July 21, 2015
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 322 W Main St Ste 101
Riverfront Place
Tilton, NH 03276-5048 - City
- Tilton
- State
- New Hampshire
- Zip
- 03276-5048
- Phone Number
- 603-860-1319
- Fax Number
- 603-671-7361
Provider Business Mailing Address Details
- Address
- 322 W Main St Ste 101
Tilton, NH 03276-5048 - City
- Tilton
- State
- NH
- Zip
- 03276-5048
- Phone Number
- 603-860-1319
- Fax Number
- 603-671-7361
License Information
- License Number
- 0445
- License State
- NH
- Taxonomy
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of M. Kathleen Russo, LADC?
The NPI number of M. Kathleen Russo, LADC is 1821428616. It was assigned on November 15, 2013 and is currently active in the NPPES registry.
What is the specialty of M. Kathleen Russo, LADC?
M. Kathleen Russo, LADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NH under license number 0445.
Where does M. Kathleen Russo, LADC practice?
The practice location is 322 W Main St Ste 101, Riverfront Place, Tilton, NH 03276-5048. The office can be reached at 603-860-1319 (phone) or 603-671-7361 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1821428616 directly on the NPPES registry website.