Individual
MS. GLENDA RUSSELL O'ROURKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4716 ASHFIELD CT, BOULDER, CO 80301
(303) 443-9446
(303) 447-2173
Mailing address
4716 ASHFIELD CT, BOULDER, CO 80301
(303) 443-9446
(303) 447-2173
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-1240
CO
Other
Enumeration date
10/08/2008
Last updated
10/08/2008
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