Mr. Kenneth Clyde Russell Jr., CDCA
Mr. Kenneth Clyde Russell Jr., CDCA is an Addiction (Substance Use Disorder) Counselor in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.
- Licensed in
- OH
- In the registry since
- 2023
Practice location Address checks out
1320 Parsons AveColumbus, OH 43206-3642
Phone: (614) 443-2777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CDCA.184930 (OH) |
|---|
Record details
| NPI number | 1033894324 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CDCA |
| Sole proprietor | Yes |
| NPI enumerated | June 15, 2023 |
| Last updated in NPPES | June 19, 2023 |
| Certification date | June 19, 2023 |
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