Organization
PHASE TWO COUNSELING SERVICE, LLC
Active
Organization
PHASE TWO COUNSELING SERVICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGIE JONES-DUDLEY PH.D. (OWNER)
(719) 473-1805
Entity
Organization
Contact information
Practice address
2019 E BIJOU ST, COLORADO SPRINGS, CO 80909-5818
(719) 473-1805
(719) 302-5324
Mailing address
2019 E BIJOU ST, COLORADO SPRINGS, CO 80909-5818
(719) 473-1805
(719) 302-5324
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
6148
CO
103TC1900X
Counseling Psychologist
Primary
6148
CO
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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