MS. Mary Teisita Russell
MS. Mary Teisita Russell is a Mental Health Counselor in Clinton, Oklahoma. Registered with an NPI since 2011.
- In the registry since
- 2011
Practice location Address checks out
70 N 31st StClinton, OK 73601-9116
Phone: (580) 323-2061
Fax: (580) 323-5635
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1043509573 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 5, 2011 |
| Last updated in NPPES | April 5, 2011 |
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