JAMAL RUSSELL

RUSTON, LA
NPI1841795945
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-03-29
Last Update Date2018-03-29
Business Address
JAMAL RUSSELL
829 E GEORGIA AVE
RUSTON, LA 71270-3912
Phone number: 318-242-0730
Mailing Address
JAMAL RUSSELL
829 E GEORGIA AVE STE 3
RUSTON, LA 71270-3901
Phone number: 318-242-0730