person
M. Kathleen Russo, LADC
Addiction (Substance Use Disorder) Counselor in Tilton, New Hampshire
NPI 1821428616

M. Kathleen Russo is an Addiction (Substance Use Disorder) Counselor based in Tilton, NH and is specialized in Addiction (Substance Use Disorder). 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 (New Hampshire).

The current practice location address for M. Kathleen Russo is 322 W Main St Ste 101, Tilton, NH and can be reached out via phone at 603-860-1319 and via fax at 603-671-7361.

Location: 322 W Main St Ste 101, Tilton, NH, 03276-5048
person
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, Tilton, NH, 03276-5048
Phone Number
603-860-1319
Fax Number
603-671-7361
Provider Enumeration Date
11/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
322 W Main St Ste 101
City
State
Zip
03276-5048
Phone Number
603-860-1319
Fax Number
603-671-7361
person
Provider Business Mailing Address Details
Address
322 W Main St Ste 101
City
State
Zip
03276-5048
Phone Number
603-860-1319
Fax Number
603-671-7361
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0445 (New Hampshire)
Definition
Definition to come...
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