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Individual
TINA DENISE RUSSELL
Active
Individual
TINA DENISE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
92437
TX
101YM0800X
Mental Health Counselor
LH61487142
WA
101YM0800X
Mental Health Counselor
Primary
LPC05924
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200337320B
—
OK
Enumeration date
10/17/2010
Last updated
12/09/2025
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