Individual
DR. KATHRYN A. RUSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
4030 MOUNT CARMEL TOBASCO RD, CINCINNATI, OH 45255-3400
(513) 910-5124
Mailing address
5689 WAYSIDE AVE, CINCINNATI, OH 45230-5131
(513) 231-5043
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C0007966
OH
101YM0800X
Mental Health Counselor
C0007966
OH
Other
Enumeration date
03/25/2011
Last updated
03/25/2011
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