Individual
ANN M PACZOLT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSMHC, LPC, CACIII
Contact information
Practice address
2790 N ACADEMY BLVD, SUITE 206, COLORADO SPRINGS, CO 80917
(719) 246-8717
(719) 559-1130
Mailing address
2790 N ACADEMY BLVD, SUITE 206, COLORADO SPRINGS, CO 80917-5337
(719) 246-8717
(719) 559-1130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6774
CO
101YM0800X
Mental Health Counselor
Primary
6262
CO
Other
Enumeration date
09/09/2009
Last updated
07/02/2018
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