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Jennifer Phillips

Counselor in Pueblo, CO. Individual provider (NPI-1).

NPI number1164097291
StatusActive
Last updated in NPPESMay 21, 2021

Details

NPI
1164097291
Entity type
Individual (NPI-1)
Name
Jennifer Phillips
Sex
Female
Sole proprietor
No
Enumeration date
May 21, 2021
Certification date
May 21, 2021
Last updated
May 21, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101Y00000X Counselor––Yes

Practice location

1302 Chinook Ln
Pueblo, CO 81001-1851

Phone 719-545-2746

Mailing address

41 Montebello Rd Ste 204
Pueblo, CO 81001-1379

Phone 719-545-2746 · Fax 719-545-4100

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