MiscSubjects

-- COLLEEN RUSSELL LMFT

-C
-- COLLEEN RUSSELL LMFT

Clinician

npi
1396052916
status
A
address
508 SAN ANSELMO AVE, SUITE 1B, SAN ANSELMO, CA, 949602632
license
MFC29249
taxonomy
Marriage & Family Therapist
last updated
2013-06-10
license state
CA
taxonomy code
106H00000X
sole proprietor
YES
enumeration date
2010-09-02
enumeration type
NPI-1
practice locations
0
npiregistry.cms.hhs.gov ↗

Recorded 2026-10-10

Connected objects

Marriage & Family Therapist · has profession

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