person
Mr. Russell Shane Viner, LPC
Professional Counselor in Grenada, Mississippi
NPI 1821360603

Russell Shane Viner is a Professional Counselor based in Grenada, MS and is specialized in Professional. Russell Shane Viner practices in Grenada, MS and has the professional credentials of LPC. The NPI Number for Russell Shane Viner is 1821360603 and holds a License No. 0563 (Mississippi).

The current practice location address for Russell Shane Viner is 501 Southwest Frontage Road, Grenada, MS and can be reached out via phone at 662-226-3762.

Location: 501 Southwest Frontage Road, Grenada, MS, 38902-1251
person
Provider Profile Details
NPI Number
1821360603
Provider Name
Russell Shane Viner
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
501 Southwest Frontage Road, Grenada, MS, 38902-1251
Phone Number
662-226-3762
Fax Number
Provider Enumeration Date
02/08/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 Southwest Frontage Road
City
State
Zip
38901-0000
Phone Number
662-226-3762
Fax Number
person
Provider Business Mailing Address Details
Address
501 Southwest Frontage Road
City
State
Zip
38901-0000
Phone Number
662-226-3762
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0563 (Mississippi)
Definition
Definition to come...
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