Jonnie Russ, MFTI

NPI #1366566556 in San Dimas, California

Provider Information

NPI Number: 1366566556
Entity Type: Individual
Name: Jonnie Russ, MFTI
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Marriage & Family Therapist
Credential: MFTI
Enumeration Date: Mar 16, 2007
Last Updated: May 15, 2013

Practice Location

Address: 762 W CYPRESS AVE
Address 2: JONNIE RUSS
City: San Dimas
State: California
ZIP Code: 91773-3505
Phone: (909) 599-1227

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Marriage & Family Therapist	106H00000X	Primary

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