Helen Clare Wren-Russ, LMFT #87027

Individual provider Active NPI Marriage & Family Therapist · Acton, CA

NPI 1780984195 · NPPES record last updated Nov 1, 2018

Key facts

NPI
1780984195
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
87027 (CA)
Practice address
30500 Arrastre Canyon Rd
Acton, CA 93510-2160
Phone
(661) 223-8834
Fax
(661) 269-2597
NPI assigned
Nov 1, 2010
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
87027CAMDClinical Social Worker
LMFT87027CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Public Health Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: helenwrenruss-avrc-ph.lacounty@lacsapc.netsmartdirect.net

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT87027 CA
Marriage & Family Therapist 106H00000X 87027 CA Yes

Addresses

Primary practice location

30500 Arrastre Canyon Rd
Acton, CA 93510-2160

Mailing address

30500 Arrastre Canyon Rd
Acton, CA 93510-2160
Phone (661) 223-8834

Other identifiers

IdentifierTypeStateIssuer
999999999OtherNONE

Other names

  • Ms. Helen Claire Wren-Russ Former name

Other providers in Acton, CA

All providers in Acton, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.