RICHARD RUSSELL PROVENCIAL

LITTLETON, CO
NPI1538790134
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO  ACB0008145)
Enumeration Date2020-02-01
Last Update Date2020-02-01
Business Address
RICHARD RUSSELL PROVENCIAL CAC II
5360 S ELATI ST APT 6
LITTLETON, CO 80120-1527
Phone number: 720-249-8862
Mailing Address
RICHARD RUSSELL PROVENCIAL CAC II
5360 S ELATI ST APT 6
LITTLETON, CO 80120-1527
Phone number: 720-249-8862
Similar providers in Littleton, CO
CYNTHIA CHRISTINE WHITE
BRIAN BRUCE BOECKER
HEART CENTERED COUNSELING, PC
VALERIE DAWN NEWSUM
JAMES PATRICK MCDONNELL
EMILIE ELIZABETH VAN HAECKE
MICHAEL JOHN CUSICK
AMANDA MARGARET DWYER
ROBERT ALAN LAVELY
CHRISTIE LYNN MARTINEZ