Individual provider · Type 1 NPI

Labrea Russell, LAPC

Professional Counselor · Stone Mountain, GA

NPI number 1184320004 Active

Practice location

770 Village Square Dr
Stone Mountain, GA 30083-3380

Mailing address

PO Box 4
Avondale Estates, GA 30002-0004

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XAPC0075551 (GA)

Professional Counselor: Definition to come...

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About NPI 1184320004

Labrea Russell, LAPC's National Provider Identifier is 1184320004, issued on Feb 2, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Stone Mountain, GA. The record was last updated on Feb 2, 2023.