Kathleen Phillips

NPI #1124510342 in Potter Valley, California

Provider Information

NPI Number: 1124510342
Entity Type: Individual
Name: Kathleen Phillips
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Enumeration Date: Jun 4, 2018
Last Updated: Jul 31, 2019

Practice Location

Address: 9981 SPRING VALLEY RD UNIT B
City: Potter Valley
State: California
ZIP Code: 95469-9713
Phone: (707) 743-1015

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X
Counselor	101Y00000X	Primary

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