Individual
ERICA ROSE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-897
Contact information
Practice address
16579 LOS GATOS ALMADEN ROAD, LOS GATOS, CA 95032
(408) 384-8404
Mailing address
16579 LOS GATOS ALMADEN ROAD, LOS GATOS, CA 95032
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC897
CA
106H00000X
Marriage & Family Therapist
IMF65551
CA
Other
Enumeration date
03/11/2013
Last updated
06/08/2018
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