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Kathryn De Russo, M.F.T
NPI 1649437708 · on the registry since 2008 · sole proprietor
Practice
- Address
- 161 Avenida Cabrillo
San Clemente, CA 92672 - Phone
- (949) 291-3135
- Organisation at this address
- Ilene Blaisch
Beth Anderson Lmft
Kristin Blaney, Individual & Family Therapy, Inc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 13
Registry record
- Primary taxonomy
- Marriage & Family Therapist
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2008-05-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California