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1366875015
JENNIFER RETTE RUSSELL
ADDISON, TX
NPI
1366875015
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: TX 71168)
Enumeration Date
2013-08-16
Last Update Date
2020-08-31
Business Address
MRS. JENNIFER RETTE RUSSELL LPC, RPT
14673 MIDWAY RD SUITE 211
ADDISON, TX 75001-7500
Phone number: 469-708-7650
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Mailing Address
MRS. JENNIFER RETTE RUSSELL LPC, RPT
512 CAP ROCK DR STE 211
RICHARDSON, TX 75080-2306
Phone number: 469-708-7650
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