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Individual

DANIELLE REBECCA RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

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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