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Kimberly Nichole Russell
Mental Health Counselor in Muskogee, Oklahoma
NPI 1952443665

Kimberly Nichole Russell is a Mental Health Counselor based in Broken Arrow, OK and is specialized in Mental Health. Kimberly Nichole Russell practices in Muskogee, OK. The NPI Number for Kimberly Nichole Russell is 1952443665 and holds a License No. (Oklahoma).

The current practice location address for Kimberly Nichole Russell is 619 N Main St, Muskogee, OK and can be reached out via phone at 918-682-8407.

Location: 619 N Main St, Muskogee, OK, 74014-1595
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1952443665
Provider Name
Kimberly Nichole Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
619 N Main St, Muskogee, OK, 74014-1595
Phone Number
918-682-8407
Fax Number
Provider Enumeration Date
02/12/2007
Last Update Date
03/08/2024
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
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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