MR. Russell Martin Dean, LPC

NPI #1679680094 in Ft Worth, Texas

Provider Information

NPI Number: 1679680094
Entity Type: Individual
Name: MR. Russell Martin Dean, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: LPC
Enumeration Date: Aug 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 2701 BURCHILL RD N
City: Ft Worth
State: Texas
ZIP Code: 76105-3012
Phone: (817) 534-0814

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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