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Alexis Ray Russell
Mental Health Counselor in Gonzales, Louisiana
NPI 1083084834

Alexis Ray Russell is a Mental Health Counselor based in Gonzales, LA and is specialized in Mental Health. Alexis Ray Russell practices in Gonzales, LA. The NPI Number for Alexis Ray Russell is 1083084834 and holds a License No. (Louisiana).

The current practice location address for Alexis Ray Russell is 14430 Caribbean Dr, Gonzales, LA and can be reached out via phone at 225-993-6861.

Location: 14430 Caribbean Dr, Gonzales, LA, 70737-7086
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083084834
Provider Name
Alexis Ray Russell
Credential
Provider Entity Type
Individual
Gender
Female
Address
14430 Caribbean Dr, Gonzales, LA, 70737-7086
Phone Number
225-993-6861
Fax Number
Provider Enumeration Date
10/05/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
14430 Caribbean Dr
City
Gonzales
State
Louisiana
Zip
70737-7086
Phone Number
225-993-6861
Fax Number
person
Provider Business Mailing Address Details
Address
14430 Caribbean Dr
City
Gonzales
State
Louisiana
Zip
70737-7086
Phone Number
225-993-6861
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
School
Taxonomy
101YS0200X
License No.
()
Definition
Definition to come...
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