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Individual
RUSSELL E. MYNHIER
Active
Individual
RUSSELL E. MYNHIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSED, LMFT
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
NULL
106H00000X
Marriage & Family Therapist
Primary
35002070A
IN
Other
Enumeration date
06/20/2017
Last updated
08/09/2022
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