Individual
KATHLEEN RUSSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
40 AVON ST, KEENE, NH 03431-3516
(603) 357-4400
Mailing address
64 MAIN ST, KEENE, NH 03431-3701
(603) 357-4400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
11356
MA
101YM0800X
Mental Health Counselor
Primary
5683
NH
Other
Enumeration date
09/05/2019
Last updated
02/03/2026
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