Individual provider · Type 1 NPI

Thomas Russell Ii

Marriage & Family Therapist · Long Beach, CA

NPI number 1639579675 Active

Practice location

3780 Kilroy Airport Way
Long Beach, CA 90806-2457

Call (562) 424-6015 Map

Fax (562) 988-6897

Mailing address

15281 Deerwood Ln
Fontana, CA 92336-0774

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X94020370 (CA)
Mental Health Counselor 101YM0800X94020370 (CA)
School Psychologist 103TS0200X101067938 (CA)
Marriage & Family Therapist Primary 106H00000X76881 (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 1639579675

Thomas Russell Ii's National Provider Identifier is 1639579675, issued on Aug 27, 2014. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Long Beach, CA. The record was last updated on Aug 27, 2014.