Keliesha Ayannah Russell, CCLS
NPI #1952738130 in South Hadley, Massachusetts
Provider Information
- NPI Number
- 1952738130
- Entity Type
- Individual
- Name
- Keliesha Ayannah Russell, CCLS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Developmental Therapist
- Credential
- CCLS
- Enumeration Date
- Oct 2, 2013
- Last Updated
- Oct 2, 2013
Practice Location
- Address
- 30 OLD LYMAN RD
- City
- South Hadley
- State
- Massachusetts
- ZIP Code
- 01075-2630
- Phone
- (413) 533-7140
Specialties & Taxonomy Codes
| Specialty |
|---|
| Developmental Therapist |
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