Russell, Linda J.
Russell, Linda J. is an sole proprietor health care provider with primary practice located at 2446 W New Orleans St , Broken Arrow OK 74011. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Russell, Linda J. can be contacted via phone (918) 286-3278.Contact Information
Primary practice address
2446 W New Orleans St
Broken Arrow OK 74011
Phone: (918) 286-3278
Fax: (918) 806-2647
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 4276 | Oklahoma |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 4276 | Oklahoma |
Profile Details
NPI number | 1174764336 |
---|---|
LBN Legal business name | Russell, Linda J. |
Credentials | Licensed Professional Counselor (LPC) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 18th, 2009 |
Last updated | Apr 25th, 2019 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174764336 | NPPES |
Oklahoma | Other | 4276 | LICENSE # |
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