Individual provider · Type 1 NPI
Linda J. Russell, LPC
Professional Counselor · Broken Arrow, OK
NPI number
1174764336
Active
Practice location
2446 W New Orleans St
Broken Arrow, OK 74011
Fax (918) 806-2647
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 4276 (OK) |
| Mental Health Counselor | 101YM0800X | 4276 (OK) |
Professional Counselor: Definition to come...
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About NPI 1174764336
Linda J. Russell, LPC's National Provider Identifier is 1174764336, issued on Mar 18, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Broken Arrow, OK. The record was last updated on Apr 25, 2019.