Shannon L Russell
Shannon L Russell is a Counselor in Allston, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2013.
- In the registry since
- 2013
Practice location Address checks out
14 Fordham RdAllston, MA 02134-3006
Phone: (617) 782-6460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X |
|---|
Record details
| NPI number | 1720414238 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 17, 2013 |
| Last updated in NPPES | September 17, 2013 |
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