Organization
SHEILA N. RUSSELL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHEILA NICOLE RUSSELL MA, LPC (MEMBER)
(432) 813-0137
Entity
Organization
Contact information
Practice address
201 S MAIN ST, SEMINOLE, TX 79360-4304
(432) 813-0137
Mailing address
327 COUNTY ROAD 306F, SEMINOLE, TX 79360-5948
(432) 813-0137
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
69877
TX
Other
Enumeration date
05/19/2014
Last updated
05/19/2014
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