Organization · Type 2 NPI
Gold Phoenix, Inc
Mental Health Counselor · Colorado Springs, CO
NPI number
1962645994
Active
Practice location
2107 Templeton Gap Rd, Ste G
Colorado Springs, CO 80907-7100
Mailing address
PO Box 88347
Colorado Springs, CO 80908-8347
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 714 (CO) |
Mental Health Counselor: Definition to come...
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About NPI 1962645994
Gold Phoenix, Inc's National Provider Identifier is 1962645994, issued on Apr 7, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colorado Springs, CO. The record was last updated on Apr 7, 2009.