Individual provider · Type 1 NPI
Aline Gaston Russell, D.MIN., LCPC, LMFT
Marriage & Family Therapist · Alton, IL
Practice location
1710 Clawson St, #4
Alton, IL 62002-4792
Fax (314) 878-4524
Mailing address
824 Mckinley Blvd
Alton, IL 62002-3357
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | None listed |
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…
About NPI 1457310039
Aline Gaston Russell, D.MIN., LCPC, LMFT's National Provider Identifier is 1457310039, issued on Mar 21, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Alton, IL. The record was last updated on Jul 8, 2007.