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Individual

MR. ROBERT DAVID RUSSELL JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
203 CENTRAL PARK LN, SENECA, SC 29678-1156
(864) 844-9432
(864) 844-9430
Mailing address
10 FINANCIAL BLVD, ANDERSON, SC 29621-1770
(864) 844-9432
(864) 844-9430

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004424
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
728911094A
GA
Enumeration date
01/30/2007
Last updated
07/07/2026
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