Individual
KAITLIN MARIE RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CWC
Contact information
Practice address
150 3RD ST, SAN RAFAEL, CA 94901-4126
(415) 485-2330
Mailing address
150 3RD ST, SAN RAFAEL, CA 94901-4126
(415) 485-2330
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
—
CA
Other
Enumeration date
11/06/2025
Last updated
11/06/2025
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