Individual
BARBRA E RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MALPC
Contact information
Practice address
421 N MAIN ST, SUITE 301, PUEBLO, CO 81003-3196
(719) 562-0108
(719) 562-0129
Mailing address
421 N MAIN ST, SUITE 301, PUEBLO, CO 81003-3196
(719) 562-0108
(719) 562-0129
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1946
CO
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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