Phillis Johnson-Haywood, LPC

NPI #1699343749 in O Fallon, Illinois

Provider Information

NPI Number
1699343749
Entity Type
Individual
Name
Phillis Johnson-Haywood, LPC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Professional
Credential
LPC
Enumeration Date
Jun 15, 2021
Last Updated
Jun 16, 2021

Practice Location

Address
1468 MANCHESTER DR
ZIP Code
62269-7272
Phone
(314) 210-1986

Specialties & Taxonomy Codes

Specialty
Counselor - ProfessionalProfessional

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