RUSSELL SHANE VINER, L.P.C

NPI: 1821360603 · Individual · Active

Primary Specialty

Professional Counselor
Counselor — Professional

Practice Location

501 SOUTHWEST FRONTAGE ROAD
GRENADA, MS 38901-0000 Map ↗
Phone: 662-226-3762

All Specialties & Licenses

  • Professional Counselor Primary — Professional (license: 0563, MS)

NPI Registration

Enumerated: 2012-02-08

Last CMS Update: 2012-02-08