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Juanita Gwendolyn Russell, MFT
Marriage & Family Therapist in Santa Rosa, California
NPI 1497851174

Juanita Gwendolyn Russell is a Marriage & Family Therapist based in Santa Rosa, CA. Juanita Gwendolyn Russell practices in Santa Rosa, CA and has the professional credentials of MFT. The NPI Number for Juanita Gwendolyn Russell is 1497851174 and holds a License No. 29702 (California).

The current practice location address for Juanita Gwendolyn Russell is 4527 Montgomery Dr, Santa Rosa, CA and can be reached out via phone at 707-547-0567 and via fax at 707-539-7096.

Location: 4527 Montgomery Dr, Santa Rosa, CA, 95409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1497851174
Provider Name
Juanita Gwendolyn Russell
Credential
MFT
Provider Entity Type
Individual
Gender
Female
Address
4527 Montgomery Dr, Santa Rosa, CA, 95409
Phone Number
707-547-0567
Fax Number
707-539-7096
Provider Enumeration Date
09/16/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
4527 Montgomery Dr
City
Santa Rosa
State
California
Zip
95409
Phone Number
707-547-0567
Fax Number
707-539-7096
person
Provider Business Mailing Address Details
Address
4527 Montgomery Dr
City
Santa Rosa
State
California
Zip
95409
Phone Number
707-547-0567
Fax Number
707-539-7096
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
29702 (California)
Definition
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 mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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