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Organization

PHASE TWO COUNSELING SERVICE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MARGIE R JONES-DUDLEY MA (SOLE OWNER)
(719) 473-1805
Entity
Organization

Contact information

Practice address
833 E PLATTE AVE, L-3, COLORADO SPRINGS, CO 80903-5512
(719) 473-1805
(719) 302-5324
Mailing address
833 E PLATTE AVE, L-3, COLORADO SPRINGS, CO 80903-5512
(719) 473-1805
(719) 302-5324

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6148
CO

Other

Enumeration date
03/12/2010
Last updated
03/12/2010
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