Individual provider · Type 1 NPI

Kirk Hodari Russell, BHRS

Mental Health Counselor · Ardmore, OK

NPI number 1215219720 Active

Practice location

32 N Washington St
Ardmore, OK 73401-7013

Call (580) 226-5209 Map

Fax (580) 226-5219

Mailing address

527 2nd Ave SE
Ardmore, OK 73401-8075

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1215219720

Kirk Hodari Russell, BHRS's National Provider Identifier is 1215219720, issued on Sep 12, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ardmore, OK. The record was last updated on Sep 12, 2011.