Individual provider · Type 1 NPI

Amanda Jessica Phillips, ACD.0002692

Addiction (Substance Use Disorder) Counselor · Palmer Lake, CO

NPI number 1962334219 Active

Practice location

443 Highway 105
Palmer Lake, CO 80133-9003

Mailing address

1383 Lakeland Grv Apt 306
Monument, CO 80132-6255

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XACD.0002692 (CO)

Addiction (Substance Use Disorder) Counselor: Definition to come...

17 other providers at this address

Other addiction (substance use disorder) counselor providers in Palmer Lake

See all in Palmer Lake →

About NPI 1962334219

Amanda Jessica Phillips, ACD.0002692's National Provider Identifier is 1962334219, issued on Jun 1, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Palmer Lake, CO. The record was last updated on Jun 1, 2026.