Russell Dean Dawson, MFT INTERN

NPI #1306029319 in Sebastopol, California

Provider Information

NPI Number
1306029319
Entity Type
Individual
Name
Russell Dean Dawson, MFT INTERN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
MFT INTERN
Enumeration Date
Dec 12, 2007
Last Updated
Jun 7, 2010

Practice Location

Address
1800 GRAVENSTEIN HWY N
ZIP Code
95472-2607
Phone
(707) 823-7300

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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