PETRA RUSSELL NPI 1780358572

NPI Information

Petra Russell is a counselor in Tulsa, OK. The provider is 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. Petra Russell NPI is 1780358572. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4867 S SHERIDAN RD STE 712A
TULSA, OK
ZIP 74145-721
Phone: (918) 205-3013

The enumeration date for this NPI number is 8/4/2021 and was last updated on 8/4/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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