Individual
MADISON PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
CO
101YM0800X
Mental Health Counselor
Primary
—
—
104100000X
Social Worker
Primary
LSW.0009927824
CO
106S00000X
Behavior Technician
BACB729196
CO
Other
Enumeration date
05/09/2022
Last updated
08/19/2026
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