Organization
GOLD PHOENIX, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA ROOKS MA, LPC (CEO)
(719) 210-3011
Entity
Organization
Contact information
Practice address
2107 TEMPLETON GAP RD, STE G, COLORADO SPRINGS, CO 80907-7100
(719) 210-3011
Mailing address
PO BOX 88347, COLORADO SPRINGS, CO 80908-8347
(719) 210-3011
(719) 494-8185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
714
CO
Other
Enumeration date
04/07/2009
Last updated
04/07/2009
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