Doctor Name: | DR. LESLIE ANN RUSSELL-MARTIN |
NPI Number: | 1073603163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. LMFT PH.D. LP |
License Number: | MN #1351 |
Business Practice Address: | 16016 233rd St Little Falls, MN - 563455583 |
Business Phone Number: | 2188311871 |
Business Fax Number: | 3206325524 |
Mailing Address: | 15920 233rd St, LITTLE FALLS |
State: | MN |
Postal Code: | 563455592 |
Phone Number: | 3206325524 |
Fax Number: | 3206325524 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 05/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | MN #1351 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Marriage & Family Therapist |
Taxonomy Specialization: | |
Taxonomy 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 supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |