Provider Demographics
NPI:1801946173
Name:ROUSSEL, DANNY K (PHD LPC LMFT)
Entity type:Individual
Prefix:DR
First Name:DANNY
Middle Name:K
Last Name:ROUSSEL
Suffix:
Gender:M
Credentials:PHD LPC LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 918
Mailing Address - Street 2:13513 RIVER ROAD
Mailing Address - City:LULING
Mailing Address - State:LA
Mailing Address - Zip Code:70070-0918
Mailing Address - Country:US
Mailing Address - Phone:985-785-5477
Mailing Address - Fax:985-308-1053
Practice Address - Street 1:13513 RIVER ROAD
Practice Address - Street 2:
Practice Address - City:LULING
Practice Address - State:LA
Practice Address - Zip Code:70070
Practice Address - Country:US
Practice Address - Phone:985-785-5477
Practice Address - Fax:985-308-1053
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA472101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional