MYRNA RUSSELL

ODESSA, TX
NPI1669748000
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: TX  10868)
Enumeration Date2012-03-30
Last Update Date2012-03-30
Business Address
-- MYRNA RUSSELL LCDC
855 CENTRAL DR SUITE 15
ODESSA, TX 79761-4200
Phone number: 432-557-5759
Mailing Address
-- MYRNA RUSSELL LCDC
109 THORNRIDGE DR
MIDLAND, TX 79703-6019
Phone number: 432-557-5957
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