THERESA RUSSELL

SAN DIEGO, CA
NPI1275483422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  157606)
Enumeration Date2026-01-29
Last Update Date2026-01-29
Business Address
THERESA RUSSELL
13223 BLACK MOUNTAIN RD STE 1 #1037
SAN DIEGO, CA 92129
Phone number: 240-688-9035
Mailing Address
THERESA RUSSELL
13223 BLACK MOUNTAIN RD STE 1 #1037
SAN DIEGO, CA 92129
Phone number: