| NPI | 1871953992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY DUKE RUSSELL President 916-443-1931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: CA mfc42048) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |