Martin D Phillips, LCDC INTERN

NPI #1972734960 in Stephenville, Texas

Provider Information

NPI Number
1972734960
Entity Type
Individual
Name
Martin D Phillips, LCDC INTERN
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LCDC INTERN
Enumeration Date
Aug 7, 2009
Last Updated
Aug 7, 2009

Practice Location

Address
239 S VIRGINIA ST
State
Texas
ZIP Code
76401-4344
Phone
(254) 965-5515

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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