Most Relevant Information
Provider Data
| NPI Number: | 1003067083 |
| Provider Name: | GLENDA RUSSELL O'ROURKE LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: | LPC-1240 |
Most Important Dates
| Enumeration Date: | 10/08/2008 |
| Last Updated: | 10/08/2008 |
Provider Practice Location
4716 ASHFIELD CT
BOULDER
CO
80301
Practice Location Phone/Fax
| Phone: | 3034439446 |
| Fax: | 3034472173 |
Provider Mailing Location
4716 ASHFIELD CT
BOULDER
CO
80301
Provider Mailing Phone/Fax
| Phone: | 3034439446 |
| Fax: | 3034472173 |