Individual
RUSSELL ROWLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4009 EUFAULA AVE, MUSKOGEE, OK 74403-1132
(918) 682-2841
Mailing address
101 S COUNTRY CLUB RD APT A5, MUSKOGEE, OK 74403-6211
(918) 693-2656
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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