Stephen Trey Russell, LCSW

NPI #1093059974 in Paris, Texas

Provider Information

NPI Number: 1093059974
Entity Type: Individual
Name: Stephen Trey Russell, LCSW
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker - Clinical
Credential: LCSW
Enumeration Date: Nov 16, 2012
Last Updated: Jul 11, 2019

Practice Location

Address: 1849 LAMAR AVE STE 120
City: Paris
State: Texas
ZIP Code: 75460-1463
Phone: (903) 715-4480

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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