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Individual

ERIKA L RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, PLPC

Contact information

Practice address
1921A DULLES DR, LAFAYETTE, LA 70506-2716
(337) 247-6111
(225) 214-1655
Mailing address
1921A DULLES DR, LAFAYETTE, LA 70506-2716
(337) 247-6111
(225) 214-1655

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7546
LA

Other

Enumeration date
11/27/2018
Last updated
11/27/2018
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