Individual provider · Type 1 NPI

James Douglas Russell, MFTI

Mental Health Counselor · Santa Cruz, CA

NPI number 1861740102 Active

Practice location

542 Ocean St
Santa Cruz, CA 95060-6622

Mailing address

PO Box 1268
Capitola, CA 95010-1268

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XIMF 64743 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1861740102

James Douglas Russell, MFTI's National Provider Identifier is 1861740102, issued on Aug 16, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Cruz, CA. The record was last updated on Mar 7, 2014.