Individual provider · Type 1 NPI
Russell Andrew Brown
Mental Health Counselor · Ada, OK
NPI number
1679913362
Active
Practice location
2036 Ahloso Rd.
Ada, OK 74820
Mailing address
PO Box 2646
Ada, OK 74821-2646
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 200262980C (OK) |
Mental Health Counselor: Definition to come...
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About NPI 1679913362
Russell Andrew Brown's National Provider Identifier is 1679913362, issued on Jun 27, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Ada, OK. The record was last updated on Sep 17, 2013.