MR. Russell Shane Viner, L.P.C.
NPI #1821360603 in Grenada, Mississippi
Provider Information
- NPI Number
- 1821360603
- Entity Type
- Individual
- Name
- MR. Russell Shane Viner, L.P.C.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Counselor - Professional
- Credential
- L.P.C.
- Enumeration Date
- Feb 8, 2012
- Last Updated
- Feb 8, 2012
Practice Location
- Address
- 501 SOUTHWEST FRONTAGE ROAD
- City
- Grenada
- State
- Mississippi
- ZIP Code
- 38901-0000
- Phone
- (662) 226-3762
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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