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Individual

MS. CHRISTINE ANN RUSSELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CACII

Contact information

Practice address
2206 VICTOR ST, AURORA, CO 80045-7400
(303) 923-6888
(303) 252-4186
Mailing address
8373 NAVAJO ST, DENVER, CO 80221-3988
(720) 309-6511

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACC.0020959
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ACC.0020959
DORA
CO
Enumeration date
04/15/2019
Last updated
04/01/2023
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