Individual
JORDYN RUSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
26 W DRY CREEK CIR, LITTLETON, CO 80120-8063
(720) 608-8543
Mailing address
4379 S COORS CT, MORRISON, CO 80465-1052
(404) 735-3240
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW09925701
CO
Other
Enumeration date
11/30/2020
Last updated
11/30/2020
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