MR. Russell Baxter II, LPC

NPI #1750707139 in Watauga, Texas

Provider Information

NPI Number
1750707139
Entity Type
Individual
Name
MR. Russell Baxter II, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor
Credential
LPC
Enumeration Date
Mar 10, 2014
Last Updated
Mar 10, 2014

Practice Location

Address
5441 CARIBOU RIDGE DR
State
Texas
ZIP Code
76137-4729
Phone
(972) 977-9313

Specialties & Taxonomy Codes

Specialty
Counselor

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