Individual
MR. DANIEL RAY RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, LPC, NCC
Contact information
Practice address
519 DR MARTIN LUTHER KING JR DR W, STARKVILLE, MS 39759-2816
(662) 323-5588
(662) 323-5588
Mailing address
519 DR MARTIN LUTHER KING JR DR W, STARKVILLE, MS 39759-2816
(662) 323-5588
(662) 323-5588
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1575
MS
Other
Enumeration date
03/02/2009
Last updated
04/14/2011
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