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Jennifer Russell
Peer Specialist in Holdenville, Oklahoma
NPI 1356061469

Jennifer Russell is a Peer Specialist based in Wewoka, OK. Jennifer Russell practices in Holdenville, OK. The NPI Number for Jennifer Russell is 1356061469 and holds a License No. (Oklahoma).

The current practice location address for Jennifer Russell is 118 E Main St, Holdenville, OK and can be reached out via phone at 405-379-5256.

Location: 118 E Main St, Holdenville, OK, 74884-5088
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1356061469
Provider Name
Jennifer Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
118 E Main St, Holdenville, OK, 74884-5088
Phone Number
405-379-5256
Fax Number
Provider Enumeration Date
08/30/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
118 E Main St
City
Holdenville
State
Oklahoma
Zip
74848-3208
Phone Number
405-379-5256
Fax Number
person
Provider Business Mailing Address Details
Address
118 E Main St
City
Holdenville
State
Oklahoma
Zip
74848-3208
Phone Number
405-379-5256
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
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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