Ann Sarene Russum Valid NPI
Individual provider · Marriage & Family Therapist · Lafayette, CA
- NPI
- 1013054741
- Type
- Individual (Type 1)
- Primary specialty
- Marriage & Family Therapist
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 106H00000X
- License number
- MFC51246 (CA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2007-01-31
- Last updated
- 2020-05-14
Practice location
3744 Mt Diablo Blvd Ste 206
Lafayette, CA 94549-3614
(925) 788-7599