Individual
MRS. JAYME L RUSSELL-CAREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
Mailing address
127 N 6TH ST, OKEMAH, OK 74859-2418
(405) 221-1225
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/16/2013
Last updated
12/16/2013
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