COLLEEN RUSSELL

SAN ANSELMO, CA
NPI1396052916
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  MFC29249)
Enumeration Date2010-09-02
Last Update Date2013-06-10
Business Address
-- COLLEEN RUSSELL LMFT
508 SAN ANSELMO AVE SUITE 1B
SAN ANSELMO, CA 94960-2632
Phone number: 415-785-3513
Mailing Address
-- COLLEEN RUSSELL LMFT
PO BOX 445
FOREST KNOLLS, CA 94933-0445
Phone number: 415-785-3513
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