Individual
ANDREA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2360 CARLA DR, LOVELAND, CO 80537-6172
(314) 807-1529
Mailing address
2360 CARLA DR, LOVELAND, CO 80537-6172
(314) 807-1529
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0017877
CO
Other
Enumeration date
06/19/2023
Last updated
06/19/2023
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