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Organization
STACY RUSE COUNSELING PLLC
Active
Organization
STACY RUSE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACY M RUSE LPC, NCC (PSYCHOTHERAPIST/OWNER)
(763) 370-4777
Entity
Organization
Contact information
Practice address
825 DELAWARE AVE STE 206, LONGMONT, CO 80501-6169
(720) 526-8102
(817) 412-7031
Mailing address
825 DELAWARE AVE STE 206, LONGMONT, CO 80501-6169
(720) 526-8102
(817) 412-7031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
71941
TX
101YM0800X
Mental Health Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
—
—
175T00000X
Peer Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000174956
—
CO
Enumeration date
06/27/2015
Last updated
06/14/2022
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