CHARLES EDWARD RUSSELL

FORT COLLINS, CO
NPI1841404159
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: CO  LPC 4285)
Enumeration Date2007-05-09
Last Update Date2007-07-08
Business Address
-- CHARLES EDWARD RUSSELL MA, LPC
1644 S COLLEGE AVE
FORT COLLINS, CO 80525-1007
Phone number: 970-221-0999
Mailing Address
-- CHARLES EDWARD RUSSELL MA, LPC
2221 A STREET RD
GREELEY, CO 80631-1747
Phone number: 970-566-0510
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