person
Lisa Evealine Russell, HABSPEC
Day Training/Habilitation Specialist in Maxwelton, West Virginia
NPI 1821614371

Lisa Evealine Russell is a Day Training/Habilitation Specialist based in Rupert, WV. Lisa Evealine Russell practices in Maxwelton, WV and has the professional credentials of HABSPEC. The NPI Number for Lisa Evealine Russell is 1821614371 and holds a License No. (West Virginia).

The current practice location address for Lisa Evealine Russell is 804 Industrial Park Rd, Maxwelton, WV and can be reached out via phone at 304-497-0500.

Location: 804 Industrial Park Rd, Maxwelton, WV, 25984-1001
person
Provider Profile Details
NPI Number
1821614371
Provider Name
Lisa Evealine Russell
Credential
HABSPEC
Provider Entity Type
Individual
Gender
Female
Address
804 Industrial Park Rd, Maxwelton, WV, 25984-1001
Phone Number
304-497-0500
Fax Number
Provider Enumeration Date
06/21/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
804 Industrial Park Rd
City
State
Zip
24957-8066
Phone Number
304-497-0500
Fax Number
person
Provider Business Mailing Address Details
Address
804 Industrial Park Rd
City
State
Zip
24957-8066
Phone Number
304-497-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Related Providers
Classification
Day Training/Habilitation Specialist
Speciality
-
Taxonomy
License No.
(West Virginia)
Definition
Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living.
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