Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
M. KATHLEEN RUSSO, LADC
Active Sole ProprietorM. KATHLEEN RUSSO, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in TILTON, New Hampshire. NPI 1821428616 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · TILTON, NH
Registration Details
- NPI Number
- 1821428616
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 15, 2013 (12.725540682271 yrs)
- Last Updated
- Jul 21, 2015
- License
-
0445 (NH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
322 W MAIN ST STE 101RIVERFRONT PLACETILTON, NH, 032765048Browse NH providers · Browse ZIP 03276
- Phone
- 6038601319
- Fax
- 6036717361
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in TILTON, NH
| Name | Credential | NPI |
|---|---|---|
| SHANE SMITH | CRSW | 1083471957 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.