Individual provider · Type 1 NPI

Matthew Charles Russoniello

Marriage & Family Therapist · Spokane, WA

NPI number 1215607494 Active

Practice location

400 S Jefferson St Ste 200
Spokane, WA 99204-3143

Call (509) 768-6852 Map

Other practice locations

  • 107 S Division St, Spokane, WA 99202-1510 · (509) 838-4651

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XCG61220659 (WA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Marriage & Family Therapist Primary 106H00000XMFTA.MG.61551477 (WA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1215607494

Matthew Charles Russoniello's National Provider Identifier is 1215607494, issued on Sep 17, 2021. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Spokane, WA. The record was last updated on Jul 15, 2024.