Individual provider · Type 1 NPI

Michael Russell

Mental Health Counselor · Weatherford, TX

NPI number 1699475640 Active

Practice location

102 Vineyard St
Weatherford, TX 76087-7948

Call (817) 726-2800 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X85798 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1699475640

Michael Russell's National Provider Identifier is 1699475640, issued on Mar 8, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Weatherford, TX. The record was last updated on Jan 7, 2025.