SAMANTHA JO RUSSELL

CERES, CA
NPI1467832824
Former NameSAMANTHA JO PLATEAU
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  107583)
Enumeration Date2015-06-01
Last Update Date2024-08-28
Business Address
SAMANTHA JO RUSSELL MFT
1904 RICHLAND AVE BLDG A
CERES, CA 95307-4562
Phone number: 209-543-0440
Mailing Address
SAMANTHA JO RUSSELL MFT
1904 RICHLAND AVE BLDG A
CERES, CA 95307-4562
Phone number:
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