Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Russell James McCarthy, CDPTCO61596015

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1376457812

Russell James McCarthy, CDPTCO61596015 is an Addiction (Substance Use Disorder) Counselor in Chehalis, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2026

Practice location Address checks out

505 SE Adams Ave
Chehalis, WA 98532-3031
Phone: (360) 266-5029
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDPT.CO.61596015 (WA)

Record details

NPI number1376457812
Entity typeIndividual (Type 1)
GenderMale
Credentials CDPTCO61596015
Sole proprietorYes
NPI enumeratedOctober 1, 2026
Last updated in NPPESOctober 1, 2026
Certification dateOctober 1, 2026

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