Individual provider · Type 1 NPI

Kathryn De Russo, M.F.T.

Marriage & Family Therapist · San Clemente, CA

NPI number 1649437708 Active

Practice location

161 Avenida Cabrillo
San Clemente, CA 92672-4040

Call (949) 291-3135 Map

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XMFC29413 (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 1649437708

Kathryn De Russo, M.F.T.'s National Provider Identifier is 1649437708, issued on May 16, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Clemente, CA. The record was last updated on May 16, 2008.