Individual provider · Type 1 NPI

Theresa Russell

Marriage & Family Therapist · San Diego, CA

NPI number 1275483422 Active

Practice location

13223 Black Mountain Rd, Ste 1 #1037
San Diego, CA 92129

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	157606 (CA)

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…

4 other providers at this address

Other marriage & family therapist providers in San Diego

See all in San Diego →

About NPI 1275483422

Theresa Russell's National Provider Identifier is 1275483422, issued on Jan 29, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Diego, CA. The record was last updated on Jan 29, 2026.