Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JUSTIN DAVID PHILLIPS, MAMFC, NCC, ALC
Active Sole ProprietorJUSTIN DAVID PHILLIPS, MAMFC, NCC, ALC is a Mental Health Counselor healthcare provider located in MOUNT OLIVE, Alabama. NPI 1033630579 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · MOUNT OLIVE, AL
Registration Details
- NPI Number
- 1033630579
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 6, 2017 (9.0876431252195 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
C2365A (AL)C2365A (AL)C2365A (AL)3758 (AL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3396 MOUNT OLIVE RDMOUNT OLIVE, AL, 351173710Browse AL providers · Browse ZIP 35117
- Phone
- 2056314126
- Fax
- 2056314156
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
- Additional Specialty
- Professional Counselor
- Additional Specialty
- Mental Health Counselor
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.