Individual provider · Type 1 NPI
Glenda Russell O'Rourke, LPC
Counselor · Boulder, CO
NPI number
1003067083
Active
Practice location
4716 Ashfield Ct
Boulder, CO 80301
Fax (303) 447-2173
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | LPC-1240 (CO) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1003067083
Glenda Russell O'Rourke, LPC's National Provider Identifier is 1003067083, issued on Oct 8, 2008. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Boulder, CO. The record was last updated on Oct 8, 2008.