Individual
BLAIR K ROUSSOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1290 CHAMBERS RD, AURORA, CO 80011-7117
(303) 617-2300
Mailing address
1290 CHAMBERS RD, AURORA, CO 80011-7117
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
LPC.0017755
CO
Other
Enumeration date
09/16/2017
Last updated
11/18/2021
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