Individual provider · Type 1 NPI
Matthew Russell, MA, LPCC
Mental Health Counselor · Fort Collins, CO
NPI number
1184301699
Active
Practice location
375 E Horsetooth Rd # 20101
Fort Collins, CO 80525-3155
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPCC.0020942 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1184301699
Matthew Russell, MA, LPCC's National Provider Identifier is 1184301699, issued on Jun 28, 2023. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Collins, CO. The record was last updated on Jun 29, 2023.