Individual
DEREK RUSNAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPCC
Contact information
Practice address
3300 TABLE MESA DR, BOULDER, CO 80305-5820
(303) 499-7744
Mailing address
5990 GREENWOOD PLAZA BLVD BLDG 2, GREENWOOD VILLAGE, CO 80111-4704
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0020174
CO
Other
Enumeration date
03/22/2024
Last updated
03/22/2024
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