Individual provider · Type 1 NPI

Russell O. Gillette, LPC, LADC

Professional Counselor · Tahlequah, OK

NPI number 1497057558 Active

Practice location

1008 S Muskogee Ave
Tahlequah, OK 74464-4734

Call (918) 458-0113 Map

Fax (918) 458-0075

Mailing address

112 W Main St
Purcell, OK 73080-4220

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X271 (OK)
Professional Counselor Primary 101YP2500X2303 (OK)

Professional Counselor: Definition to come...

5 other providers at this address

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About NPI 1497057558

Russell O. Gillette, LPC, LADC's National Provider Identifier is 1497057558, issued on Nov 23, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tahlequah, OK. The record was last updated on Nov 23, 2010.