Petra Russell is a Counselor based in Glenpool, OK. Petra Russell practices in Tulsa, OK. The NPI Number for Petra Russell is 1780358572 and holds a License No. (Oklahoma).
The current practice location address for Petra Russell is 4867 S Sheridan Rd Ste 712A, Tulsa, OK and can be reached out via phone at 918-205-3013.
Location: 4867 S Sheridan Rd Ste 712A, Tulsa, OK, 74033-3125
Provider Profile Details
NPI Number
1780358572
Provider Name
Petra Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
4867 S Sheridan Rd Ste 712A, Tulsa, OK, 74033-3125
Phone Number
918-205-3013
Fax Number
Provider Enumeration Date
08/04/2021
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
4867 S Sheridan Rd Ste 712A
City
State
Zip
74145-5721
Phone Number
918-205-3013
Fax Number
Provider Business Mailing Address Details
Address
4867 S Sheridan Rd Ste 712A
City
State
Zip
74145-5721
Phone Number
918-205-3013
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
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Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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