Individual provider · Type 1 NPI

Randall Shane Russell

Mental Health Counselor · Baton Rouge, LA

NPI number 1285171892 Active

Practice location

158 Mcgehee Dr
Baton Rouge, LA 70815-5012

Call (225) 272-5271 Map

Mailing address

239 West Dr
Baton Rouge, LA 70806-5149

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1285171892

Randall Shane Russell's National Provider Identifier is 1285171892, issued on Jan 21, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Baton Rouge, LA. The record was last updated on Jan 21, 2017.