Individual provider · Type 1 NPI

Kimberly Nichole Russell

Mental Health Counselor · Muskogee, OK

NPI number 1952443665 Active

Practice location

619 N Main St
Muskogee, OK 74401-4431

Mailing address

20208 E 43rd Pl
Broken Arrow, OK 74014-1595

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1952443665

Kimberly Nichole Russell's National Provider Identifier is 1952443665, issued on Feb 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Muskogee, OK. The record was last updated on Jul 8, 2007.