RUSSELL BAXTER

WATAUGA, TX
NPI1750707139
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101Y00000X Counselor
(Licence: TX  68028)
Enumeration Date2014-03-10
Last Update Date2014-03-10
Business Address
Mr. RUSSELL BAXTER LPC
5441 CARIBOU RIDGE DR
WATAUGA, TX 76137-4729
Phone number: 972-977-9313
Mailing Address
Mr. RUSSELL BAXTER LPC
5441 CARIBOU RIDGE DR
WATAUGA, TX 76137-4729
Phone number: 972-977-9313