Individual provider · Type 1 NPI

Jody Moser Russon, LMFT

Marriage & Family Therapist · Philadelphia, PA

NPI number 1962903930 Active

Practice location

3020 Market St Ste 510
Philadelphia, PA 19104-3735

Call (267) 388-1095 Map

Mailing address

739 Hathaway Ln
Ardmore, PA 19003-2019

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MF000929 (PA)

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 1962903930

Jody Moser Russon, LMFT's National Provider Identifier is 1962903930, issued on Feb 26, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Philadelphia, PA. The record was last updated on Feb 26, 2018.