Individual provider · Type 1 NPI

Angelique Noel Russo, M.S.

Marriage & Family Therapist · San Bernardino, CA

NPI number 1376742155 Active

Practice location

1053 N D St
San Bernardino, CA 92410-3521

Call (909) 886-1691 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Marriage & Family Therapist Primary 106H00000X54731 (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…

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About NPI 1376742155

Angelique Noel Russo, M.S.'s National Provider Identifier is 1376742155, issued on Jul 12, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Bernardino, CA. The record was last updated on Oct 25, 2007.