NPI 1003067083

Glenda Russell O'Rourke, LPC

Practitioner Counselor Boulder, CO

Practice location

Address: 4716 Ashfield CT, Boulder, CO 80301
Phone: (303) 443-9446
Fax: (303) 447-2173

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence LPC-1240 (CO)

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Registry record

NPI: 1003067083
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Oct 2008
Record last updated: 8 Oct 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.