Provider Demographics
NPI:1346019718
Name:CASH, RUSSELL (LCADC)
Entity Type:Individual
Prefix:
First Name:RUSSELL
Middle Name:
Last Name:CASH
Suffix:
Gender:M
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 LOUISVILLE RD
Mailing Address - Street 2:
Mailing Address - City:FRANKFORT
Mailing Address - State:KY
Mailing Address - Zip Code:40601-3919
Mailing Address - Country:US
Mailing Address - Phone:502-661-1444
Mailing Address - Fax:502-661-1555
Practice Address - Street 1:1604 LOUISVILLE RD
Practice Address - Street 2:
Practice Address - City:FRANKFORT
Practice Address - State:KY
Practice Address - Zip Code:40601-3919
Practice Address - Country:US
Practice Address - Phone:502-661-1444
Practice Address - Fax:502-661-1555
Is Sole Proprietor?:No
Enumeration Date:2023-12-27
Last Update Date:2023-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY287400101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)