Individual provider · Type 1 NPI

Diane Russick-Keglovitz, MA LLPC

Professional Counselor · Norton Shores, MI

NPI number 1679008726 Active

Practice location

84 S Seaway Dr
Norton Shores, MI 49444-3841

Mailing address

8842 E Newfield Dr
Hesperia, MI 49421-9726

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401015994 (MI)

Professional Counselor: Definition to come...

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About NPI 1679008726

Diane Russick-Keglovitz, MA LLPC's National Provider Identifier is 1679008726, issued on Apr 26, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Norton Shores, MI. The record was last updated on Oct 9, 2023.