Individual
MS. ANNELIESE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A. AMFT, LPC
Contact information
Practice address
115 S PARKSIDE DR, COLORADO SPRINGS, CO 80910-3130
(719) 572-6100
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6100
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
116025
CA
101YP2500X
Professional Counselor
Primary
LPC.0018482
CO
Other
Enumeration date
11/20/2019
Last updated
03/21/2023
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