person
Michael Russell, MA,DMIN
Professional Counselor in College Station, Texas
NPI 1285640128

Michael Russell is a Professional Counselor based in College Station, TX and is specialized in Professional. Michael Russell practices in College Station, TX and has the professional credentials of MA,DMIN. The NPI Number for Michael Russell is 1285640128 and holds a License No. 9957 (Texas).

The current practice location address for Michael Russell is 207 Rock Prairie Rd, College Station, TX and can be reached out via phone at 979-693-3393 and via fax at 979-694-7337.

Location: 207 Rock Prairie Rd, College Station, TX, 77845-8777
person
Provider Profile Details
NPI Number
1285640128
Provider Name
Michael Russell
Credential
MA,DMIN
Provider Entity Type
Individual
Gender
Male
Address
207 Rock Prairie Rd, College Station, TX, 77845-8777
Phone Number
979-693-3393
Fax Number
979-694-7337
Provider Enumeration Date
07/31/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2809LC 01 TX BCBS
institution
Provider Business Practice Location Address Details
Address
207 Rock Prairie Rd
City
State
Zip
77845-8777
Phone Number
979-693-3393
Fax Number
979-694-7337
person
Provider Business Mailing Address Details
Address
207 Rock Prairie Rd
City
State
Zip
77845-8777
Phone Number
979-693-3393
Fax Number
979-694-7337
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
9957 (Texas)
Definition
Definition to come...
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