person
Mr. Mark Stephen Russell JR., LPC
Professional Counselor in Bedford, Texas
NPI 1154767267

Mark Stephen Russell JR. is a Professional Counselor based in Bedford, TX and is specialized in Professional. Mark Stephen Russell JR. practices in Bedford, TX and has the professional credentials of LPC. The NPI Number for Mark Stephen Russell JR. is 1154767267 and holds a License No. 76034 (Texas).

The current practice location address for Mark Stephen Russell JR. is 3901 Airport Fwy Ste 107, Bedford, TX and can be reached out via phone at 817-812-2880 and via fax at 817-812-3096.

Location: 3901 Airport Fwy Ste 107, Bedford, TX, 76021-6117
person
Provider Profile Details
NPI Number
1154767267
Provider Name
Mark Stephen Russell JR.
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
3901 Airport Fwy Ste 107, Bedford, TX, 76021-6117
Phone Number
817-812-2880
Fax Number
817-812-3096
Provider Enumeration Date
05/15/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3901 Airport Fwy Ste 107
City
State
Zip
76021-6117
Phone Number
817-812-2880
Fax Number
817-812-3096
person
Provider Business Mailing Address Details
Address
3901 Airport Fwy Ste 107
City
State
Zip
76021-6117
Phone Number
817-812-2880
Fax Number
817-812-3096
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
76034 (Texas)
Definition
Definition to come...
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