Individual provider · Type 1 NPI
Samantha Russell-Porte
Marriage & Family Therapist · Jacksonville, NC
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
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 0717001958 (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.