MR. Robert David Russell JR., LPC
NPI #1194861666 in Douglasville, Georgia
Provider Information
- NPI Number
- 1194861666
- Entity Type
- Individual
- Name
- MR. Robert David Russell JR., LPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- LPC
- Enumeration Date
- Jan 30, 2007
- Last Updated
- Jul 9, 2007
Practice Location
- Address
- 6488 SPRING ST
- Address 2
- SUITE 201
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30134-1895
- Phone
- (770) 949-1595
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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