MS. Diane Russick-Keglovitz, MA LLPC
NPI #1679008726 in Norton Shores, Michigan
Provider Information
- NPI Number
- 1679008726
- Entity Type
- Individual
- Name
- MS. Diane Russick-Keglovitz, MA LLPC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- MA LLPC
- Enumeration Date
- Apr 26, 2017
- Last Updated
- Oct 9, 2023
Practice Location
- Address
- 84 S SEAWAY DR
- City
- Norton Shores
- State
- Michigan
- ZIP Code
- 49444-3841
- Phone
- (231) 733-9800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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