Ian Russ LMFT

NPI 1043603871 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1043603871
Gender Male
Enumeration Date 03/18/2015
Last Updated 03/18/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
16133 VENTURA BLVD
SUITE 1235
ENCINO CA, 91436-2403, US
Phone (818) 990-5740
Fax
Business Location
16133 VENTURA BLVD
SUITE 1235
ENCINO CA, 91436-2403, US
Phone (818) 990-5740
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 7893
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According to our database, Dr. Ian Russ LMFT NPI is 1043603871, taxonomy code is 106H00000X and license number is 7893, license state is located at California. Ian Russ LMFT physically located at 16133 Ventura Blvd, Encino CA, 91436-2403. NPI Number Ian Russ LMFT has the Individual type.

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1043603871 NPI number is provided on an as is basis without warranty of any kind. 1043603871 is maintained by the National Plan & Provider Enumeration System. The contents of Ian Russ LMFT are for informational purposes only.