| Tina Denise Russell, LPC | |
|
610 E 24th St, Tishomingo, OK 73460-3245 | |
| (580) 371-2343 | |
| (580) 371-3614 |
| Full Name | Tina Denise Russell |
|---|---|
| Gender | Female |
| Speciality | Counselor |
| Location | 610 E 24th St, Tishomingo, Oklahoma |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942510573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 92437 (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | LH61487142 (Washington) | Secondary |
| 101Y00000X | Counselor | LPC05924 (Oklahoma) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Tina Denise Russell, LPC 1300 Hoppe Blvd Ste 6, Ada, OK 74820-2319 Ph: (580) 235-0274 | Tina Denise Russell, LPC 610 E 24th St, Tishomingo, OK 73460-3245 Ph: (580) 371-2343 |
Craig Kendall Edmondson, BS ED BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 E Main St, Tishomingo, OK 73460 Phone: 580-371-3776 | |
Brianna Megan Thompson, MA, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 817 E 6th St, Tishomingo, OK 73460 Phone: 580-495-8613 | |
Mrs. Jim Ann Reynolds, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 E 24th St, Tishomingo, OK 73460 Phone: 580-371-9933 Fax: 580-371-9944 | |
Mrs. Amanda Kay Blue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1531 West Main, Tishomingo, OK 73460 Phone: 580-371-8719 | |
Mrs. Jayne Hull, Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 W Main St, Tishomingo, OK 73460 Phone: 580-371-3799 | |
Will Haywood, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 E 24th St, Tishomingo, OK 73460 Phone: 580-371-3672 Fax: 580-371-3651 | |
Ms. Kelly Lynn Palmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 E 24th St, Tishomingo, OK 73460 Phone: 903-815-0843 Fax: 580-371-9944 |