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Cheyenne Dawn Russell
Peer Specialist in Muskogee, Oklahoma
NPI 1598399313

Cheyenne Dawn Russell is a Peer Specialist based in Muskogee, OK. Cheyenne Dawn Russell practices in Muskogee, OK. The NPI Number for Cheyenne Dawn Russell is 1598399313 and holds a License No. (Oklahoma).

The current practice location address for Cheyenne Dawn Russell is 619 N Main St, Muskogee, OK and can be reached out via phone at 918-682-8407. You can also correspond with Cheyenne Dawn Russell through the mailing address at 619 N MAIN ST, MUSKOGEE, OK - 74401-4431 (mailing address contact number: 918-682-8407).

Location: 619 N Main St, Muskogee, OK, 74401-4431
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1598399313
Provider Name
Cheyenne Dawn Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
619 N Main St, Muskogee, OK, 74401-4431
Phone Number
918-682-8407
Fax Number
Provider Enumeration Date
03/02/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
619 N Main St
City
Muskogee
State
Oklahoma
Zip
74401-4431
Phone Number
918-682-8407
Fax Number
person
Provider Business Mailing Address Details
Address
619 N Main St
City
Muskogee
State
Oklahoma
Zip
74401-4431
Phone Number
918-682-8407
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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