Individual
DELISA DUNCAN RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
147 W SUNSET RD STE 101, SAN ANTONIO, TX 78209-2681
(210) 725-7716
Mailing address
5 OTTER POND PL, SPRING, TX 77381-4011
(210) 725-7716
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
15324
TX
101YM0800X
Mental Health Counselor
15324
TX
101YP2500X
Professional Counselor
15324
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1529836-01
—
TX
05
—
152983603
—
TX
Enumeration date
02/06/2007
Last updated
02/19/2026
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