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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHRYN DE RUSSO, M.F.T.

Active Sole Proprietor

Marriage & Family Therapist · SAN CLEMENTE, CA

Registration Details

NPI Number
1649437708
Provider Type
Individual
Gender
Female
NPI Issued
May 16, 2008 (17.963303066064 yrs)
Last Updated
May 16, 2008
License
MFC29413 (CA)
Sole Proprietor
Yes

Practice Information

Address
161 AVENIDA CABRILLO
SAN CLEMENTE, CA, 926724040
Browse CA providers · Browse ZIP 92672
Phone
9492913135
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in SAN CLEMENTE, CA

Name Credential NPI
MRS. LOUISE CATHERINE YEILDING M.F.T. 1194703249
MARILYN GOTTDANK MFT 1225073919
KAREN G HAYCRAFT MFT 1770514093
JOHN ROBERT ACKERMAN MFT 1467484402
DR. FOOJAN ZEINE PSY.D., MFT 1679508261
MS. JULIETTE CAROL LOUISE PINEDA LMFT 1437175858
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.