David Russell is a Peer Specialist based in Lawton, OK. David Russell practices in Lawton, OK. The NPI Number for David Russell is 1144740879 and holds a License No. (Oklahoma).
The current practice location address for David Russell is 602 Sw 38Th St, Lawton, OK and can be reached out via phone at 580-248-5780.
Location: 602 Sw 38Th St, Lawton, OK, 73505-6912
Provider Profile Details
NPI Number
1144740879
Provider Name
David Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
602 Sw 38Th St, Lawton, OK, 73505-6912
Phone Number
580-248-5780
Fax Number
Provider Enumeration Date
06/23/2017
Last Update Date
03/09/2024
Provider Business Practice Location Address Details
Address
602 Sw 38Th St
City
State
Zip
73505-6912
Phone Number
580-248-5780
Fax Number
Provider Business Mailing Address Details
Address
602 Sw 38Th St
City
State
Zip
73505-6912
Phone Number
580-248-5780
Fax Number
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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