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Individual

DANE RUSSELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
3222 S JEBEL WAY, AURORA, CO 80013-9014
(303) 909-5692
Mailing address
68 S MOLINE ST, AURORA, CO 80012-1274
(303) 909-5692

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1995
CO

Other

Enumeration date
06/09/2011
Last updated
06/09/2011
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