Individual
LASHONDA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2002 S FILLMORE ST, LITTLE ROCK, AR 72204-4909
(501) 906-4928
Mailing address
1600 ALDERSGATE RD STE 200, LITTLE ROCK, AR 72205-6676
(501) 906-4237
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A2302009
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227343795
—
AR
Enumeration date
09/15/2017
Last updated
07/13/2023
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