Individual provider · Type 1 NPI
Olivia Delacey Phillips, MSW
Mental Health Counselor · Fort Collins, CO
NPI number
1154660504
Active
Practice location
1 Old Town Sq, Suite 200B
Fort Collins, CO 80524-2464
Mailing address
2750 Pleasant Valley Rd
Fort Collins, CO 80521-4083
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 13040 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1154660504
Olivia Delacey Phillips, MSW's National Provider Identifier is 1154660504, issued on Feb 5, 2013. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fort Collins, CO. The record was last updated on Feb 5, 2013.