Gordon Kenneth Russell
Gordon Kenneth Russell is an Addiction (Substance Use Disorder) Counselor in Groveport, Ohio. Licensed in Ohio. Registered with an NPI since 2023.
- Licensed in
- OH
- In the registry since
- 2023
Practice location Address checks out
6020 Groveport RdGroveport, OH 43125-1005
Phone: (614) 567-6274
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 185707 (OH) |
|---|
Record details
| NPI number | 1740069673 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 28, 2023 |
| Last updated in NPPES | September 28, 2023 |
| Certification date | September 28, 2023 |
| Mailing address | 6020 Groveport Rd, Groveport, OH 43125-1005 |
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MS. Megan Purks
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Amanda K Richmond
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Jonathan Robert Sweeney, PRS
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Sara Waters
6020 Groveport Rd, Groveport, OH 43125-1005 · (614) 567-6274
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Jonathan Ashley Whitt
6020 Groveport Rd, Groveport, OH 43125-1005 · (614) 370-1464