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Individual

ALEX JULES RUSSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMFT

Contact information

Practice address
2665 30TH ST, SANTA MONICA, CA 90405-3063
(310) 439-8251
Mailing address
2801 OCEAN PARK BLVD # 319, SANTA MONICA, CA 90405-2905
(310) 439-8251

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
154137
CA

Other

Enumeration date
05/23/2023
Last updated
12/22/2025
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