Individual
MRS. KATRINA RUSSHETTE RUSHING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MMHC, LPC (US)
Contact information
Practice address
312 NE 28TH ST STE 109A, OKLAHOMA CITY, OK 73105-2822
(405) 276-2496
Mailing address
312 NE 28TH ST, OKLAHOMA CITY, OK 73105-2821
(405) 276-2496
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
OK
103K00000X
Behavior Analyst
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200385520A
—
OK
Enumeration date
07/06/2011
Last updated
03/17/2018
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