Individual
JULIA ANTOINETTE RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
1385 S COLORADO BLVD STE A302, DENVER, CO 80222-3315
(631) 204-7278
Mailing address
1385 S COLORADO BLVD STE A302, DENVER, CO 80222-3315
(631) 204-7278
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC.0020384
CO
Other
Enumeration date
08/11/2022
Last updated
02/28/2024
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