person
Charles Edward Russell, MA,LPC
Mental Health Counselor in Fort Collins, Colorado
NPI 1841404159

Charles Edward Russell is a Mental Health Counselor based in Greeley, CO and is specialized in Mental Health. Charles Edward Russell practices in Fort Collins, CO and has the professional credentials of MA,LPC. The NPI Number for Charles Edward Russell is 1841404159 and holds a License No. LPC 4285 (Colorado).

The current practice location address for Charles Edward Russell is 1644 S College Ave, Fort Collins, CO and can be reached out via phone at 970-221-0999 and via fax at 970-221-0999.

Location: 1644 S College Ave, Fort Collins, CO, 80631-1747
person
Provider Profile Details
NPI Number
1841404159
Provider Name
Charles Edward Russell
Credential
MA,LPC
Provider Entity Type
Individual
Gender
Male
Address
1644 S College Ave, Fort Collins, CO, 80631-1747
Phone Number
970-221-0999
Fax Number
970-221-0999
Provider Enumeration Date
05/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
31800335 05 CO
institution
Provider Business Practice Location Address Details
Address
1644 S College Ave
City
State
Zip
80525-1007
Phone Number
970-221-0999
Fax Number
970-221-0999
person
Provider Business Mailing Address Details
Address
1644 S College Ave
City
State
Zip
80525-1007
Phone Number
970-221-0999
Fax Number
970-221-0999
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC 4285 (Colorado)
Definition
Definition to come...
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