| Mr Russell Shane Viner, LPC | |
|
501 Southwest Frontage Road, Grenada, MS 38901-0000 | |
| (662) 226-3762 | |
| Not Available |
| Full Name | Mr Russell Shane Viner |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 501 Southwest Frontage Road, Grenada, Mississippi |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821360603 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 0563 (Mississippi) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Russell Shane Viner, LPC Po Box 1251, Grenada, MS 38902-1251 Ph: (662) 226-3762 | Mr Russell Shane Viner, LPC 501 Southwest Frontage Road, Grenada, MS 38901-0000 Ph: (662) 226-3762 |
Keshia Dukes, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 639 Lakeview Dr Ste C, Grenada, MS 38901 Phone: 662-809-2735 | |
Mr. John Thomas Mcree I, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2026 Commerce St Ste 8e, Grenada, MS 38901 Phone: 662-402-2902 | |
Ms. Sandra Helen Harvey, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Hill Dr Ste E, Grenada, MS 38901 Phone: 662-226-9098 Fax: 662-226-9098 | |
Sonya Aycock, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1970 Grandview Dr, Grenada, MS 38901 Phone: 662-227-3700 | |
Mary Leslie Wilson Fowler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1800 Hill Dr Ste E, Grenada, MS 38901 Phone: 662-582-3193 |