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Organization
OLIVE BRANCH GROUP LLC
Active
Organization
OLIVE BRANCH GROUP LLC
Active
Other names
Olive Branch Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA RUSSELL LCSW (EXECUTIVE DIRECTOR)
(469) 626-8795
Entity
Organization
Contact information
Practice address
1820 PRESTON PARK BLVD STE 2200, PLANO, TX 75093-3614
(469) 626-8795
Mailing address
5900 BALCONES DR STE 100, AUSTIN, TX 78731-4298
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/17/2024
Last updated
04/17/2024
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