Beth Russell, LPC | |
910 Rush Dr, Salida, CO 81201-9665 | |
(719) 539-6637 | |
Not Available |
Full Name | Beth Russell |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 910 Rush Dr, Salida, Colorado |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528414489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LPC.0017972 (Colorado) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826 |
Mailing Address | Practice Location Address |
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Beth Russell, LPC 825 Illinois Ave, Salida, CO 81201-3214 Ph: (719) 239-1961 | Beth Russell, LPC 910 Rush Dr, Salida, CO 81201-9665 Ph: (719) 539-6637 |
Dawn Mockler, Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Vesta Rd, Salida, CO 81201 Phone: 719-539-6502 Fax: 719-539-3988 | |
Michelle Ann French, PHD, DVM, CAC III Counselor Medicare: Not Enrolled in Medicare Practice Location: 7405 W Hwy 50, Suite 120, Salida, CO 81201 Phone: 719-539-4100 Fax: 719-539-4443 | |
Robert Tressler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 448 E 1st St, Suite 226, Salida, CO 81201 Phone: 719-745-7000 Fax: 719-745-7000 | |
Thomas H Ewing, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 448 E 1st St, Suite 226, Salida, CO 81201 Phone: 719-207-4163 Fax: 719-745-7000 | |
Ellen Henderson, LPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8990 County Road 165, Salida, CO 81201 Phone: 812-344-2863 | |
Helene T Watson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 G St Ste 8, Salida, CO 81201 Phone: 719-221-6937 | |
Ashley Ottmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7405 Hwy 50, Suite 134, Salida, CO 81242 Phone: 719-851-0838 |