JUAN MIGUEL RUSSIAN

FLOWER MOUND, TX
NPI1588528186
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  91083)
Enumeration Date2025-12-10
Last Update Date2025-12-10
Business Address
JUAN MIGUEL RUSSIAN
3204 LONG PRAIRIE RD STE A
FLOWER MOUND, TX 75022-4958
Phone number: 903-780-6097
Mailing Address
JUAN MIGUEL RUSSIAN
1870 RUFE SNOW DR
KELLER, TX 76248-5629
Phone number: 903-780-6097