Individual
MR. JOHN RUSSELL MCLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MMFY
Contact information
Practice address
1166 N 3RD ST, ABILENE, TX 79601-5831
(325) 676-8963
(325) 676-2915
Mailing address
1166 N 3RD ST, ABILENE, TX 79601-5831
(325) 676-8963
(325) 676-2915
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1684
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
173B
BLUE CROSS
TX
Enumeration date
11/13/2006
Last updated
07/08/2007
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