Individual
MR. RUSSELL DEAN GRIFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, LCDC, CRC
Contact information
Practice address
1204 BENT OAKS CT, 200, DENTON, TX 76210-8000
(940) 387-3450
Mailing address
1204 BENT OAKS CT, 200, DENTON, TX 76210-8000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
67927
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
12169
TX
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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