Samantha Jo Russell, MFT
NPI #1467832824 in Ceres, California
Provider Information
- NPI Number
- 1467832824
- Entity Type
- Individual
- Name
- Samantha Jo Russell, MFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MFT
- Enumeration Date
- Jun 1, 2015
- Last Updated
- Aug 28, 2024
Practice Location
- Address
- 1904 RICHLAND AVE BLDG A
- City
- Ceres
- State
- California
- ZIP Code
- 95307-4562
- Phone
- (209) 543-0440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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