Organization
COTTONWOOD CREEK WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE DUNN PH.D. (CEO/CLINICAL DIRECTOR)
(719) 445-6744
Entity
Organization
Contact information
Practice address
3210 E. WOODMEN RD., 110, COLORADO SPRINGS, CO 80920
(719) 445-6744
Mailing address
20219 HIGH PINES DR, MONUMENT, CO 80132-8383
(303) 888-1021
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3567
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12452965
NPI
—
Enumeration date
10/05/2017
Last updated
06/16/2018
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