MEDICARE: CHELSEA M RUSSELL MS, LPC, NCC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	7075	LA
2	101YM0800X	Mental Health Counselor	7075	LA

General Provider Information

NPI Number	:	1083109011
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHELSEA M RUSSELL MS, LPC, NCC

Provider Business Mailing Address
First Line	:	1011 N 9TH ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-5548
Country	:	US
Telephone Number	:	318-732-0060
Fax Number	:	985-307-4070

Provider Business Practice Location Address
First Line	:	1011 N 9TH ST
Second Line	:
City	:	MONROE
State	:	LA
Zip	:	71201-5548
Country	:	US
Telephone Number	:	318-732-0060
Fax Number	:	985-307-4070

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2018
Last Update Date	:	05/04/2026

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