Kristin L. Russell Mouttet in Fairfax - Marriage & Family Therapist
Kristin L. Russell Mouttet - NPI 1861546368
Kristin L. Russell Mouttet is a Marriage & Family Therapist in Fairfax, Virginia. Kristin L. Russell Mouttet practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Kristin L. Russell Mouttet is 1861546368. The last update date is 2007-07-08.
Kristin L. Russell Mouttet's current location address is 10372 Democracy Ln, Fairfax, Virginia. You can contact this provider via phone number 7035912551 and fax number 7035912563. The mailing address for Kristin L. Russell Mouttet is 10372 Democracy Ln, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Kristin L. Russell Mouttet |
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Address | 10372 Democracy Ln, Fairfax, Virginia |
Phone Number | 7035912551 |
Fax Number | 7035912563 |
Sole Proprietor | N |
Credentials | M.S. , LMF |
NPI Number Detail
NPI Number | 1861546368 |
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Provider Enumeration Date | 2007-01-22 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 10372 Democracy Ln |
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City | Fairfax |
State | Virginia (VA) |
Post Code | 220302522 |
Phone Number | 7035912551 |
Fax Number | 7035912563 |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | 717001096 |
Definition: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
239190 | VA | ANTHEM - FAIRFAX | |
239191 | VA | ANTHEM - STERLING |
Post Comment/ Review Below
What is the Kristin L. Russell Mouttet's unique identification number?
The Kristin L. Russell Mouttet has been assigned the NPI (National Provider Identifier) Number 1861546368 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Kristin L. Russell Mouttet's facilities are situated?
The facilities of Kristin L. Russell Mouttet are physically located at the following address: 10372 Democracy Ln, Fairfax, VA, 220302522.
What is Kristin L. Russell Mouttet's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Kristin L. Russell Mouttet is Marriage & Family Therapist, and the corresponding taxonomy classification code for this specialized field is 106H00000X.
On what date did the Kristin L. Russell Mouttet receive the assignment of its 1861546368 from the Centers for Medicare & Medicaid Services?
The Kristin L. Russell Mouttet was issued its 1861546368 by the Centers for Medicare & Medicaid Services on 2007-01-22.
When was the information pertaining to Kristin L. Russell Mouttet most recently updated or revised?
The details related to Kristin L. Russell Mouttet, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.