Individual
MRS. SHANDRICKA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
8261 SUMMA AVE STE H, BATON ROUGE, LA 70809-3452
(225) 333-8008
(225) 416-6048
Mailing address
14241 COURSEY BLVD STE A-12, BATON ROUGE, LA 70817-1368
(225) 333-8008
(225) 416-4068
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7536
LA
Other
Enumeration date
09/15/2020
Last updated
05/07/2021
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