Randall Russ
NPI #1699134262 in White Castle, Louisiana
Provider Information
- NPI Number
- 1699134262
- Entity Type
- Individual
- Name
- Randall Russ
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Case Manager/Care Coordinator
- Enumeration Date
- Feb 11, 2016
- Last Updated
- May 15, 2019
Practice Location
- Address
- 32990 BOWIE STREET
- City
- White Castle
- State
- Louisiana
- ZIP Code
- 70788
- Phone
- (225) 716-2330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Case Manager/Care Coordinator |
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