Individual
JENNIFER MADDOCKS STILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6760 CORPORATE DR STE 140, COLORADO SPRINGS, CO 80919-5910
(719) 357-7651
Mailing address
5888 CUMBRE VISTA WAY, COLORADO SPRINGS, CO 80924-6011
(719) 358-3552
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
NLC.0110277
CO
Other
Enumeration date
01/07/2020
Last updated
01/07/2020
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