Individual
BRITNI RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
170 CLEAR BROOKE DR, SHREVEPORT, LA 71115-3257
(318) 393-0031
Mailing address
170 CLEAR BROOKE DR, SHREVEPORT, LA 71115-3257
(318) 393-0031
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4814
LA
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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