MR. THOMAS RUSSELL II
Marriage & Family Therapist
Active
Individual
NPI: 1639579675
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Addiction (Substance Use Disorder) | 101YA0400X | No | 94020370 (CA) |
| Counselor - Mental Health | 101YM0800X | No | 94020370 (CA) |
| Psychologist - School | 103TS0200X | No | 101067938 (CA) |
| Marriage & Family Therapist | 106H00000X | Yes | 76881 (CA) |
Frequently Asked Questions
NPI 1639579675 is the National Provider Identifier for MR. THOMAS RUSSELL II, a Marriage & Family Therapist provider located in Long Beach, CA. This NPI was enumerated on August 27, 2014.
MR. THOMAS RUSSELL II practices at 3780 KILROY AIRPORT WAY, Long Beach, CA 90806.
Quick Facts
- NPI
- 1639579675
- Type
- Individual
- Enumerated
- Aug 27, 2014
- Last Updated
- Aug 27, 2014
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