| M Kathleen Russo, LADC | |
|
322 W Main St Ste 101, Riverfront Place, Tilton, NH 03276-5048 | |
| (603) 860-1319 | |
| (603) 671-7361 |
| Full Name | M Kathleen Russo |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 322 W Main St Ste 101, Tilton, New Hampshire |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821428616 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 0445 (New Hampshire) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| M Kathleen Russo, LADC 322 W Main St Ste 101, Tilton, NH 03276-5048 Ph: (603) 860-1319 | M Kathleen Russo, LADC 322 W Main St Ste 101, Riverfront Place, Tilton, NH 03276-5048 Ph: (603) 860-1319 |
Shane Smith, CRSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 32 White Rock Cir, Tilton, NH 03276 Phone: 603-203-1848 | |
Katherin Langone, LCMHC, MLADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 322 W Main St Ste 130, Tilton, NH 03276 Phone: 802-478-0335 Fax: 603-619-3650 | |
Dr. Sharon Wolf, PHD Counselor Medicare: Medicare Enrolled Practice Location: Rand Road, Tilton, NH 03276 Phone: 603-286-7647 |