Individual
DR. COURTNEY ELIZABETH RUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD, BCBA
Contact information
Practice address
210 EDWARDS VILLAGE BLVD # D208, EDWARDS, CO 81632-5277
(970) 446-6481
Mailing address
210 EDWARDS VILLAGE BLVD # D208, EDWARDS, CO 81632-5277
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-21-51634
CO
103TC0700X
Clinical Psychologist
Primary
PSYC.00015020
CO
Other
Enumeration date
03/28/2023
Last updated
06/13/2023
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