Individual
DANIELLE REBECCA RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3173 WASHINGTON AVE STE B, BATON ROUGE, LA 70802-2178
(225) 778-7678
(225) 341-6825
Mailing address
3173 WASHINGTON AVE STE B, BATON ROUGE, LA 70802-2178
(252) 778-7678
(225) 341-6825
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PLC8564
LA
101YM0800X
Mental Health Counselor
Primary
010313613
LA
101YP2500X
Professional Counselor
010313613
LA
101YP2500X
Professional Counselor
Primary
LPC8564
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101Y00000X
PLPC
LA
05
—
600964601
—
LA
Enumeration date
05/31/2016
Last updated
03/19/2026
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