Individual provider · Type 1 NPI
Dane Russell, LPC
Professional Counselor · Aurora, CO
NPI number
1760777569
Active
Practice location
3222 S Jebel Way
Aurora, CO 80013-9014
Mailing address
68 S Moline St
Aurora, CO 80012-1274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 1995 (CO) |
Professional Counselor: Definition to come...
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About NPI 1760777569
Dane Russell, LPC's National Provider Identifier is 1760777569, issued on Jun 9, 2011. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Aurora, CO. The record was last updated on Jun 9, 2011.