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Individual
MR. MARK STEPHEN RUSSELL JR.
Active
Individual
MR. MARK STEPHEN RUSSELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
61663881
WA
101YP2500X
Professional Counselor
76034
TX
Other
Enumeration date
05/15/2013
Last updated
04/23/2025
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