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Organization
PHASE TWO COUNSELING SERVICE
Active
Organization
PHASE TWO COUNSELING SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARGIE R. JONES-DUDLEY MA CCBT, CAC III (OWNER/DRIECTOR)
(719) 473-1805
Entity
Organization
Contact information
Practice address
2019 E BIJOU ST, SUITE #1, COLORADO SPRINGS, CO 80909-5818
(719) 473-1805
(719) 302-5324
Mailing address
2019 E BIJOU ST, SUITE #1, COLORADO SPRINGS, CO 80909-5818
(719) 473-1805
(719) 302-5324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6148
NULL
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6148
—
Other
Enumeration date
05/16/2012
Last updated
05/16/2012
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