person
Ms. Mary Teisita Russell
Mental Health Counselor in Clinton, Oklahoma
NPI 1043509573

Mary Teisita Russell is a Mental Health Counselor based in Weatherford, OK and is specialized in Mental Health. Mary Teisita Russell practices in Clinton, OK. The NPI Number for Mary Teisita Russell is 1043509573 and holds a License No. (Oklahoma).

The current practice location address for Mary Teisita Russell is 70 N 31St St, Clinton, OK and can be reached out via phone at 580-323-2061 and via fax at 580-323-5635.

Location: 70 N 31St St, Clinton, OK, 73096-3840
person
Provider Profile Details
NPI Number
1043509573
Provider Name
Mary Teisita Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
70 N 31St St, Clinton, OK, 73096-3840
Phone Number
580-323-2061
Fax Number
580-323-5635
Provider Enumeration Date
04/05/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
70 N 31St St
City
State
Zip
73601-9116
Phone Number
580-323-2061
Fax Number
580-323-5635
person
Provider Business Mailing Address Details
Address
70 N 31St St
City
State
Zip
73601-9116
Phone Number
580-323-2061
Fax Number
580-323-5635
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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