Individual
BETH RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
910 RUSH DR, SALIDA, CO 81201-9665
(719) 539-6637
Mailing address
825 ILLINOIS AVE, SALIDA, CO 81201-3214
(719) 239-1961
(719) 745-7000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0017972
CO
Other
Enumeration date
05/10/2016
Last updated
02/04/2022
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