Individual provider · Type 1 NPI

Samantha Russell-Porte

Marriage & Family Therapist · Jacksonville, NC

NPI number 1285351510 Active

Practice location

519 Black Pearl Cir
Jacksonville, NC 28546-0157

Other practice locations

  • 9625 Surveyor Ct Ste 200, Manassas, VA 20110-4408 · (703) 574-8232

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X0717001958 (VA)

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 1285351510

Samantha Russell-Porte's National Provider Identifier is 1285351510, issued on Oct 26, 2022. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Jacksonville, NC. The record was last updated on May 1, 2026.