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1033105911
RUSSELL AMBROSE COLLINS
SANTA BARBARA, CA
NPI
1033105911
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 40797)
Enumeration Date
2005-09-26
Last Update Date
2007-07-08
Business Address
Mr. RUSSELL AMBROSE COLLINS LMFT
1530 SAN LEANDRO LN
SANTA BARBARA, CA 93108-2636
Phone number: 805-969-6370
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Mailing Address
Mr. RUSSELL AMBROSE COLLINS LMFT
1187 COAST VILLAGE RD 1-361
SANTA BARBARA, CA 93108-2737
Phone number:
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