Bonita Russell
Bonita Russell is a Marriage & Family Therapist in Long Beach, California. Licensed in California. Registered with an NPI since 2017.
- Licensed in
- CA
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
5150 E Pacific Coast Hwy Ste 100Long Beach, CA 90804
Phone: (562) 490-7600
Fax: (562) 490-7601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence 126025 (CA) |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X · Licence 93863 (CA) |
Record details
| NPI number | 1417474404 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 29, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Certification date | June 15, 2021 |
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