Individual provider · Type 1 NPI

Michele R. Russ, MBS, LPC

Professional Counselor · Ardmore, OK

NPI number 1235388000 Active

Practice location

1219 K St NW Ste 2
Ardmore, OK 73401-1801

Fax (580) 319-5349

Mailing address

PO Box 189
Ardmore, OK 73402-0189

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XNone listed

Professional Counselor: Definition to come...

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About NPI 1235388000

Michele R. Russ, MBS, LPC's National Provider Identifier is 1235388000, issued on Sep 16, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Ardmore, OK. The record was last updated on Dec 2, 2024.