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Michael Russell
Mental Health Counselor in Weatherford, Texas
NPI 1699475640

Michael Russell is a Mental Health Counselor based in Weatherford, TX and is specialized in Mental Health. Michael Russell practices in Weatherford, TX. The NPI Number for Michael Russell is 1699475640 and holds a License No. 85798 (Texas).

The current practice location address for Michael Russell is 102 Vineyard St, Weatherford, TX and can be reached out via phone at 817-726-2800.

Location: 102 Vineyard St, Weatherford, TX, 76087-7948
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699475640
Provider Name
Michael Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
102 Vineyard St, Weatherford, TX, 76087-7948
Phone Number
817-726-2800
Fax Number
Provider Enumeration Date
03/08/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
102 Vineyard St
City
Weatherford
State
Texas
Zip
76087-7948
Phone Number
817-726-2800
Fax Number
person
Provider Business Mailing Address Details
Address
102 Vineyard St
City
Weatherford
State
Texas
Zip
76087-7948
Phone Number
817-726-2800
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
85798 (Texas)
Definition
Definition to come...
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