Desirea Russell's National Provider Identifier (NPI) Details
Desirea Russell, MS, MBA, CRC, LPC
NPI: 1417465527
Enumeration Date: 2018-01-11
Last updated: 2021-02-08
Sole Proprietor: YES
Status: active
Postal Address: 2290 LAKE ROYALE DR, RIVERDALE, GA
Phone: 678-709-8002
Primary Practice Address: 2001 MARTIN LUTHER KING JR DR SW STE 201, ATLANTA, GA
Practice's phone: 404-476-5498