Individual
KATHERINE RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4515 W MINERAL DR UNIT 337, LITTLETON, CO 80128-2562
(936) 212-3466
Mailing address
4515 W MINERAL DR UNIT 337, LITTLETON, CO 80128-2562
(936) 212-3466
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
CO
101YM0800X
Mental Health Counselor
Primary
—
CO
Other
Enumeration date
05/30/2013
Last updated
05/30/2013
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