RANDALL SHANE RUSSELL

BATON ROUGE, LA
NPI1285171892
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2017-01-21
Last Update Date2017-01-21
Business Address
Mr. RANDALL SHANE RUSSELL
158 MCGEHEE DR
BATON ROUGE, LA 70815-5012
Phone number: 225-272-5271
Mailing Address
Mr. RANDALL SHANE RUSSELL
239 WEST DR
BATON ROUGE, LA 70806-5149
Phone number: 662-816-4365