Individual provider · Type 1 NPI

Ryan Russ

Counselor · Canoga Park, CA

NPI number 1053276865 Active

Practice location

22122 Sherman Way
Canoga Park, CA 91303-1140

Call (323) 356-4848 Map

Mailing address

615 Ocean Ave Apt J
Santa Monica, CA 90402-2643

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1053276865

Ryan Russ's National Provider Identifier is 1053276865, issued on Dec 23, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Canoga Park, CA. The record was last updated on Dec 23, 2025.