Organization
SUSAN DOLAN
Active
Parent organization
SUSAN DOLAN
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUSAN DOLAN
Authorized official
MRS. SUSAN LYNN DOLAN LCSW (PRESIDENT)
(719) 278-9536
Entity
Organization
Contact information
Practice address
5525 ERINDALE DR, STE. #107, COLORADO SPRINGS, CO 80918-6740
(719) 278-9536
(719) 266-6025
Mailing address
5525 ERINDALE DR, STE. #107, COLORADO SPRINGS, CO 80918-6740
(719) 278-9536
(719) 266-6025
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
991699
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
155048
—
CO
Enumeration date
03/05/2012
Last updated
03/05/2012
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