Individual
NORMAN CLAY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC CCS
Contact information
Practice address
7060 PRAIRIE RD # 593, WINNSBORO, LA 71295-2951
(318) 805-4775
(318) 435-7063
Mailing address
7060 PRAIRIE RD # 593, WINNSBORO, LA 71295-2951
(318) 805-4775
(318) 435-7063
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1626
LA
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
LA
101YP1600X
Pastoral Counselor
1626
LA
171M00000X
Case Manager/Care Coordinator
1626
LA
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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