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1033801642
ALEX JULES RUSSAN
BEVERLY HILLS, CA
NPI
1033801642
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 136810)
Enumeration Date
2023-05-23
Last Update Date
2023-06-03
Business Address
ALEX JULES RUSSAN Registered AMFT
300 S BEVERLY DR STE 203
BEVERLY HILLS, CA 90212-4805
Phone number: 310-439-8251
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Mailing Address
ALEX JULES RUSSAN Registered AMFT
2801 OCEAN PARK BLVD # 319
SANTA MONICA, CA 90405-2905
Phone number: 310-210-6950
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