Individual provider · Type 1 NPI
Kenneth Ladon Russell
Mental Health Counselor · Oklahoma City, OK
NPI number
1245577378
Active
Practice location
11000 Springhollow Rd
Oklahoma City, OK 73120-5021
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1245577378
Kenneth Ladon Russell's National Provider Identifier is 1245577378, issued on Jan 9, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Oklahoma City, OK. The record was last updated on Jan 9, 2013.