Doctor Name: | MS. GLENDA RUSSELL O'ROURKE |
NPI Number: | 1003067083 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | LPC-1240 |
Business Practice Address: | 4716 Ashfield Ct Boulder, CO - 80301 |
Business Phone Number: | 3034439446 |
Business Fax Number: | 3034472173 |
Mailing Address: | 4716 Ashfield Ct, BOULDER |
State: | CO |
Postal Code: | 80301 |
Phone Number: | 3034439446 |
Fax Number: | 3034472173 |
NPI Enumeration Date: | 10/08/2008 |
NPI Last Update Date: | 10/08/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC-1240 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |