person
Gary Russell
Mental Health Counselor in Houston, Texas
NPI 1770123457

Gary Russell is a Mental Health Counselor based in Houston, TX and is specialized in Mental Health. Gary Russell practices in Houston, TX. The NPI Number for Gary Russell is 1770123457 and holds a License No. 83300 (Texas).

The current practice location address for Gary Russell is 11777 Katy Fwy Ste 350, Houston, TX and can be reached out via phone at 713-365-0700 and via fax at 713-827-1080.

Location: 11777 Katy Fwy Ste 350, Houston, TX, 77079-1721
person
Provider Profile Details
NPI Number
1770123457
Provider Name
Gary Russell
Credential
Provider Entity Type
Individual
Gender
Male
Address
11777 Katy Fwy Ste 350, Houston, TX, 77079-1721
Phone Number
713-365-0700
Fax Number
713-827-1080
Provider Enumeration Date
01/10/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83300 01 TX TX STATE BOARD OF EXAMNERS OF PROFESSIONAL COUNSELORS
institution
Provider Business Practice Location Address Details
Address
11777 Katy Fwy Ste 350
City
State
Zip
77079-1721
Phone Number
713-365-0700
Fax Number
713-827-1080
person
Provider Business Mailing Address Details
Address
11777 Katy Fwy Ste 350
City
State
Zip
77079-1721
Phone Number
713-365-0700
Fax Number
713-827-1080
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
83300 (Texas)
Definition
Definition to come...
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