Individual
RUSSELL HOLLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC
Contact information
Practice address
4951 CENTRAL AVE, MONROE, LA 71203-6156
(318) 340-1535
(318) 340-1539
Mailing address
117 GARDEN PARK DR, MONROE, LA 71202-5121
(318) 600-2006
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4872
LA
Other
Enumeration date
01/07/2016
Last updated
01/07/2016
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