Individual
INNESA RUSSONNIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC, MFTC
Contact information
Practice address
327 INVERNESS DR S STE 201, ENGLEWOOD, CO 80112-6012
(303) 954-9809
Mailing address
327 INVERNESS DR S STE 201, ENGLEWOOD, CO 80112-6012
(720) 243-1417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC.0020201
CO
Other
Enumeration date
03/05/2024
Last updated
09/25/2025
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