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1760526198
CRAIG ALLEN RUSSELL
AUSTIN, TX
NPI
1760526198
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: TX LPC #11115)
Enumeration Date
2007-02-18
Last Update Date
2011-05-09
Business Address
Mr. CRAIG ALLEN RUSSELL M.Ed., L.P.C.
3215 STECK AVE SUITE 100
AUSTIN, TX 78757-7566
Phone number: 512-452-2929
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Mailing Address
Mr. CRAIG ALLEN RUSSELL M.Ed., L.P.C.
3215 STECK AVE SUITE 100
AUSTIN, TX 78757-7566
Phone number: 512-452-2929
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