MS. ANGELIQUE NOEL RUSSO M.S.
NPI 1376742155
Marriage & Family Therapist in San Bernardino, CA

Q: What is Angelique Russo's NPI number?

The NPI number for Angelique Russo is 1376742155. It was assigned to this individual provider in the NPPES registry on July 12, 2007.

Q: What is Angelique Russo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Angelique Russo was last updated on October 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 12, 2007

1053 N D ST, SAN BERNARDINO, CA 92410(909) 886-1691 Get Directions Write a Review

NPPES record last updated: October 25, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ms. Angelique Noel Russo M.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANGELIQUE NOEL RUSSO M.S. (NPI 1376742155) is an individual marriage & family therapist in San Bernardino, California, licensed in California (54731) and active in the NPI registry since July 2007.

NPPES Registry Identity

NPI1376742155

Entity TypeIndividualFemale

Primary Taxonomy106H00000X

Provider Legal NameMS. ANGELIQUE NOEL RUSSOCredential: M.S.

Location Address1053 N D STSan Bernardino, CA 92410-3521

Mailing Address1053 N D StSan Bernardino, CA 92410-3521 · (909) 886-1691

Phone(909) 886-1691

Sole ProprietorNo

Enumeration DateJuly 12, 2007

Last NPPES UpdateOctober 25, 2007

✔ NPI 1376742155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 54731

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.

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X

1053 N D ST, San Bernardino, CA 92410

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARY E ANDREWS

Counselor (Mental Health)