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1851141915
DEREK RUSNAK
BOULDER, CO
NPI
1851141915
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: CO LPCC.0020174)
Enumeration Date
2024-03-22
Last Update Date
2024-03-22
Business Address
DEREK RUSNAK MA, LPCC
3300 TABLE MESA DR
BOULDER, CO 80305-5820
Phone number: 303-499-7744
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Mailing Address
DEREK RUSNAK MA, LPCC
5990 GREENWOOD PLAZA BLVD BLDG 2
GREENWOOD VILLAGE, CO 80111-4704
Phone number:
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