MICHAEL RUSSELL

WEATHERFORD, TX
NPI1699475640
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: TX  85798)
Enumeration Date2023-03-08
Last Update Date2023-03-08
Business Address
MICHAEL RUSSELL
102 VINEYARD ST
WEATHERFORD, TX 76087-7948
Phone number: 817-726-2800
Mailing Address
MICHAEL RUSSELL
102 VINEYARD ST
WEATHERFORD, TX 76087-7948
Phone number: 817-726-2800
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