person
James Douglas Russell, MFTI
Mental Health Counselor in Santa Cruz, California
NPI 1861740102

James Douglas Russell is a Mental Health Counselor based in Capitola, CA and is specialized in Mental Health. James Douglas Russell practices in Santa Cruz, CA and has the professional credentials of MFTI. The NPI Number for James Douglas Russell is 1861740102 and holds a License No. IMF 64743 (California).

The current practice location address for James Douglas Russell is 542 Ocean St, Santa Cruz, CA and can be reached out via phone at 831-459-0444.

Location: 542 Ocean St, Santa Cruz, CA, 95010-1268
person
Provider Profile Details
NPI Number
1861740102
Provider Name
James Douglas Russell
Credential
MFTI
Provider Entity Type
Individual
Gender
Male
Address
542 Ocean St, Santa Cruz, CA, 95010-1268
Phone Number
831-459-0444
Fax Number
Provider Enumeration Date
08/16/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
542 Ocean St
City
State
Zip
95060-6622
Phone Number
831-459-0444
Fax Number
person
Provider Business Mailing Address Details
Address
542 Ocean St
City
State
Zip
95060-6622
Phone Number
831-459-0444
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
IMF 64743 (California)
Definition
Definition to come...
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