Individual provider · Type 1 NPI

Bryan Russell

Peer Specialist · Grove, OK

NPI number 1750820569 Active

Practice location

32300 S 625 Rd
Grove, OK 74344-6285

Call (918) 786-2930 Map

Fax (918) 786-5985

Mailing address

PO Box 451585
Grove, OK 74345-1585

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 1750820569

Bryan Russell's National Provider Identifier is 1750820569, issued on Feb 14, 2017. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Grove, OK. The record was last updated on Feb 14, 2017.