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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174764336 NPPES
Oklahoma Other 4276 LICENSE #

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