Matthew B Russell
Matthew B Russell is a Marriage & Family Therapist in Fair Oaks, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2020
Practice location Address checks out
4125 Temescal St Ste GFair Oaks, CA 95628-7558
Phone: (916) 619-7744
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Specialties & licences
| Marriage & Family Therapist (primary) | Taxonomy 106H00000X · Licence AMFT122031 (CA) |
|---|
Record details
| NPI number | 1386244648 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | October 27, 2020 |
| Last updated in NPPES | October 27, 2020 |
| Certification date | October 27, 2020 |
| Mailing address | 4125 Temescal St Ste G, Fair Oaks, CA 95628-7558 |
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