Individual provider · Type 1 NPI
Erica Rose Russell, LPC-897
Professional Counselor · Los Gatos, CA
NPI number
1386985661
Active
Practice location
16579 Los Gatos Almaden Road
Los Gatos, CA 95032
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF65551 (CA) |
| Professional Counselor Primary | 101YP2500X | LPC897 (CA) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1386985661
Erica Rose Russell, LPC-897's National Provider Identifier is 1386985661, issued on Mar 11, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Los Gatos, CA. The record was last updated on Jun 8, 2018.