GARY ALLEN RUSSELL

LAFAYETTE, CO
NPI1811478498
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-08-22
Last Update Date2018-08-22
Business Address
Mr. GARY ALLEN RUSSELL
1455 DIXON AVE
LAFAYETTE, CO 80026-8879
Phone number: 720-406-3604
Mailing Address
Mr. GARY ALLEN RUSSELL
1181 E 1ST AVE APT 1802
BROOMFIELD, CO 80020-3770
Phone number: 720-244-5003
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