Individual
MS. DESHANON MARIE COBB- RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S.
Contact information
Practice address
2439 MANHATTAN BLVD STE 403, HARVEY, LA 70058-5328
(504) 368-5905
Mailing address
2439 MANHATTAN BLVD STE 403, HARVEY, LA 70058-5328
(504) 368-5905
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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