JUDITH RUSSELL

REDLANDS, CA
NPI1982999884
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  25716)
Additional Taxonomies106H00000X Marriage & Family Therapist
(Licence: CA  25716)
Enumeration Date2011-06-20
Last Update Date2011-06-20
Business Address
-- JUDITH RUSSELL LCSW
47 1ST ST
REDLANDS, CA 92373-4601
Phone number: 909-633-9683
Mailing Address
-- JUDITH RUSSELL LCSW
PO BOX 5276
CRESTLINE, CA 92325-5276
Phone number: 909-633-9683