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Tina Denise Russell, LPC
Counselor in Tishomingo, Oklahoma
NPI 1942510573

Tina Denise Russell is a Counselor based in Ada, OK. Tina Denise Russell practices in Tishomingo, OK and has the professional credentials of LPC. The NPI Number for Tina Denise Russell is 1942510573 and holds a License No. 92437 (Oklahoma).

The current practice location address for Tina Denise Russell is 610 E 24Th St, Tishomingo, OK and can be reached out via phone at 580-371-2343 and via fax at 580-371-3614.

Location: 610 E 24Th St, Tishomingo, OK, 74820-2319
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942510573
Provider Name
Tina Denise Russell
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
610 E 24Th St, Tishomingo, OK, 74820-2319
Phone Number
580-371-2343
Fax Number
580-371-3614
Provider Enumeration Date
10/17/2010
Last Update Date
10/19/2024
institution
Provider Business Practice Location Address Details
Address
610 E 24Th St
City
Tishomingo
State
Oklahoma
Zip
73460-3245
Phone Number
580-371-2343
Fax Number
580-371-3614
person
Provider Business Mailing Address Details
Address
610 E 24Th St
City
Tishomingo
State
Oklahoma
Zip
73460-3245
Phone Number
580-371-2343
Fax Number
580-371-3614
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LH61487142 (Washington)
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.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
92437 (Texas)
Definition
Definition to come...
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