Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Benjamin David Russack, MFT

Individual provider Marriage & Family Therapist · NPI 1801290770

Mr. Benjamin David Russack, MFT is a Marriage & Family Therapist in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

711 Fourth Street 201
San Rafael, CA 94901
Phone: (415) 497-1908
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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 78602 (CA)

Record details

NPI number1801290770
Entity typeIndividual (Type 1)
GenderMale
Credentials MFT
Sole proprietorYes
NPI enumeratedOctober 21, 2014
Last updated in NPPESOctober 21, 2014

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