Individual
MICHELE R RUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MBS, LPC
Contact information
Practice address
1219 K ST NW STE 2, ARDMORE, OK 73401-1801
(580) 798-4523
(580) 319-5349
Mailing address
PO BOX 189, ARDMORE, OK 73402-0189
(409) 798-4523
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/16/2008
Last updated
12/02/2024
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