Individual
AMANDA JESSICA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ACD.0002692
Contact information
Practice address
443 HIGHWAY 105, PALMER LAKE, CO 80133-9003
(719) 955-1800
Mailing address
1383 LAKELAND GRV APT 306, MONUMENT, CO 80132-6255
(719) 955-1800
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACD.0002692
CO
Other
Enumeration date
06/01/2026
Last updated
06/01/2026
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