person
Russell O Gillette, LPC,LADC
Professional Counselor in Tahlequah, Oklahoma
NPI 1497057558

Russell O Gillette is a Professional Counselor based in Purcell, OK and is specialized in Professional. Russell O Gillette practices in Tahlequah, OK and has the professional credentials of LPC,LADC. The NPI Number for Russell O Gillette is 1497057558 and holds a License No. 271 (Oklahoma).

The current practice location address for Russell O Gillette is 1008 S Muskogee Ave, Tahlequah, OK and can be reached out via phone at 918-458-0113 and via fax at 918-458-0075.

Location: 1008 S Muskogee Ave, Tahlequah, OK, 73080-4220
person
Provider Profile Details
NPI Number
1497057558
Provider Name
Russell O Gillette
Credential
LPC,LADC
Provider Entity Type
Individual
Gender
Male
Address
1008 S Muskogee Ave, Tahlequah, OK, 73080-4220
Phone Number
918-458-0113
Fax Number
918-458-0075
Provider Enumeration Date
11/23/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1008 S Muskogee Ave
City
State
Zip
74464-4734
Phone Number
918-458-0113
Fax Number
918-458-0075
person
Provider Business Mailing Address Details
Address
1008 S Muskogee Ave
City
State
Zip
74464-4734
Phone Number
918-458-0113
Fax Number
918-458-0075
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
2303 (Oklahoma)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
271 (Oklahoma)
Definition
Definition to come...
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