Individual
MR. RUSSELL BAXTER II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
5441 CARIBOU RIDGE DR, WATAUGA, TX 76137-4729
(972) 977-9313
Mailing address
5441 CARIBOU RIDGE DR, WATAUGA, TX 76137-4729
(972) 977-9313
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
68028
TX
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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