Organization
PHOENIX PROGRAMS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA K CALDWELL LPC (COUNSELOR)
(573) 875-8880
Entity
Organization
Contact information
Practice address
90 E. LESLIE LN., COLUMBIA, MO 65202
(573) 875-8880
(573) 442-3830
Mailing address
90 E. LESLIE LN., COLUMBIA, MO 65202
(573) 875-8880
(573) 442-3830
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
001046
MO
Other
Enumeration date
08/29/2018
Last updated
08/29/2018
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