Organization
PREMIER COUNSELING CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STACIE BRYANT LMFT (PRESIDENT)
(719) 388-0194
Entity
Organization
Contact information
Practice address
3920 N UNION BLVD, SUITE 370, COLORADO SPRINGS, CO 80907-4900
(719) 388-0194
(719) 522-1168
Mailing address
PO BOX 63312, COLORADO SPRINGS, CO 80962-3312
(719) 388-0194
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT893
CO
Other
Enumeration date
11/12/2009
Last updated
04/22/2010
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