person
Mr. Robert David Russell JR., LPC
Professional Counselor in Douglasville, Georgia
NPI 1194861666

Robert David Russell JR. is a Professional Counselor based in Hiram, GA and is specialized in Professional. Robert David Russell JR. practices in Douglasville, GA and has the professional credentials of LPC. The NPI Number for Robert David Russell JR. is 1194861666 and holds a License No. LPC004424 (Georgia).

The current practice location address for Robert David Russell JR. is 6488 Spring St, Douglasville, GA and can be reached out via phone at 770-949-1595.

Location: 6488 Spring St, Douglasville, GA, 30141-5442
person
Provider Profile Details
NPI Number
1194861666
Provider Name
Robert David Russell JR.
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
6488 Spring St, Douglasville, GA, 30141-5442
Phone Number
770-949-1595
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
6488 Spring St
City
State
Zip
30134-1895
Phone Number
770-949-1595
Fax Number
person
Provider Business Mailing Address Details
Address
6488 Spring St
City
State
Zip
30134-1895
Phone Number
770-949-1595
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC004424 (Georgia)
Definition
Definition to come...
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