person
Mr. Gary Allen Russell JR.
Mental Health Counselor in Lafayette, Colorado
NPI 1811478498

Gary Allen Russell JR. is a Mental Health Counselor based in Broomfield, CO and is specialized in Mental Health. Gary Allen Russell JR. practices in Lafayette, CO. The NPI Number for Gary Allen Russell JR. is 1811478498 and holds a License No. (Colorado).

The current practice location address for Gary Allen Russell JR. is 1455 Dixon Ave, Lafayette, CO and can be reached out via phone at 720-406-3604.

Location: 1455 Dixon Ave, Lafayette, CO, 80020-3770
person
Provider Profile Details
NPI Number
1811478498
Provider Name
Gary Allen Russell JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
1455 Dixon Ave, Lafayette, CO, 80020-3770
Phone Number
720-406-3604
Fax Number
Provider Enumeration Date
08/22/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1455 Dixon Ave
City
State
Zip
80026-8879
Phone Number
720-406-3604
Fax Number
person
Provider Business Mailing Address Details
Address
1455 Dixon Ave
City
State
Zip
80026-8879
Phone Number
720-406-3604
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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