Individual provider · Type 1 NPI

Kimberly Nicole Green-Russell, LMFT

Marriage & Family Therapist · Los Angeles, CA

NPI number 1407129687 Active

Practice location

510 S. Vermont Avenue
Los Angeles, CA 90020-1912

Call (213) 842-0333 Map

Mailing address

PO Box 88591
Los Angeles, CA 90009-8591

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X80853 (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 1407129687

Kimberly Nicole Green-Russell, LMFT's National Provider Identifier is 1407129687, issued on Feb 17, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Los Angeles, CA. The record was last updated on May 18, 2021.