Individual
MS. LINDA J. RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2446 W NEW ORLEANS ST, BROKEN ARROW, OK 74011
(918) 286-3278
(918) 806-2647
Mailing address
2446 W NEW ORLEANS ST, BROKEN ARROW, OK 74011
(918) 286-3278
(918) 806-2647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
4276
OK
101YP2500X
Professional Counselor
Primary
4276
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4276
LICENSE #
OK
Enumeration date
03/18/2009
Last updated
04/25/2019
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