Michael Russell, M.A., D.Min.
Counselor, Professional in College Station, TX. Individual provider (NPI-1).
NPI number1285640128
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1285640128
- Entity type
- Individual (NPI-1)
- Name
- Michael Russell
- Credential
- M.A., D.Min.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jul 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | 9957 | TX | Yes |
Practice location
207 Rock Prairie RdSuite B
College Station, TX 77845-8777
Phone 979-693-3393 · Fax 979-694-7337
Mailing address
207 Rock Prairie RdSuite B
College Station, TX 77845-8777
Phone 979-693-3393 · Fax 979-694-7337
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