Individual
BETHANY RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC
Contact information
Practice address
1780 S BELLAIRE ST, SUITE 485, DENVER, CO 80222-4307
(615) 516-1371
Mailing address
4985 E 12TH AVE, DENVER, CO 80220-2501
(615) 516-1371
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC.0015092
CO
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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