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Individual

JINNA L RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
2435 W 44TH AVE, DENVER, CO 80211-1507
(303) 456-2889
(817) 516-7019
Mailing address
2435 W 44TH AVE, DENVER, CO 80211-1507
(303) 456-2889
(817) 516-7019

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
14750
TX
101YP2500X
Professional Counselor
Primary
14750
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1040802
MANAGED HEALTH NETWORK
01
1077155
CIGNA BEHAVIORAL HEALTH
01
136324
VALUE OPTIONS
01
222604
COMPSYCH
01
31623
AETNA
01
3708LC
BCBS
TX
01
6252509
UNITED BEHAVIORAL HEALTH
01
80115001
HEALTHSMART PPO
Enumeration date
08/21/2006
Last updated
11/16/2007
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