Individual
MR. BRIAN PAUL COLWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
11221 N 28TH DR BLDG E, PHOENIX, AZ 85029-5615
(602) 997-2233
(602) 997-2667
Mailing address
4361 E LARIAT LN, PHOENIX, AZ 85050-8907
(480) 737-0201
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-18383
AZ
Other
Enumeration date
03/05/2020
Last updated
03/05/2020
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