Individual provider · Type 1 NPI

Austin Tyler Russow

Peer Specialist · Edmond, OK

NPI number 1235089392 Active

Practice location

152 Burton Pl
Edmond, OK 73013-4408

Call (417) 356-5761 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1235089392

Austin Tyler Russow's National Provider Identifier is 1235089392, issued on Jan 29, 2026. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Edmond, OK. The record was last updated on Jan 29, 2026.