Individual provider · Type 1 NPI
Sarah Mackenzie Russo, MA, LPCC, R-DMT
Mental Health Counselor · Boulder, CO
NPI number
1285506709
Active
Practice location
5105 Williams Fork Trl
Boulder, CO 80301-3418
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPCC.0023662 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1285506709
Sarah Mackenzie Russo, MA, LPCC, R-DMT's National Provider Identifier is 1285506709, issued on Sep 23, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boulder, CO. The record was last updated on Oct 24, 2025.