Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BENJAMIN DAVID RUSSACK, MFT
Active Sole ProprietorMR. BENJAMIN DAVID RUSSACK, MFT is a Marriage & Family Therapist healthcare provider located in SAN RAFAEL, California. NPI 1801290770 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · SAN RAFAEL, CA
Registration Details
- NPI Number
- 1801290770
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 21, 2014 (11.841687701258 yrs)
- Last Updated
- Oct 21, 2014
- License
-
78602 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
711 FOURTH STREET201SAN RAFAEL, CA, 94901Browse CA providers · Browse ZIP 94901
- Phone
- 4154971908
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in SAN RAFAEL, CA
| Name | Credential | NPI |
|---|---|---|
| MS. ALISON B. COSTA | LMFT | 1316974157 |
| MS. GOLDA BETH MICHELSON | MFT | 1104858679 |
| MS. MARGARET SUSAN SHALEN | MFT | 1023041712 |
| MS. VERONICA ALTSCHUL | MFT | 1821022500 |
| MARTHA RADETSKY | MFT | 1144254566 |
| MS. LAURA JESSICA ELLIOTT | M.A. | 1902825961 |
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.