Individual provider · Type 1 NPI

Aline Gaston Russell, D.MIN., LCPC, LMFT

Marriage & Family Therapist · Alton, IL

NPI number 1457310039 Active

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

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone 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.