Individual
PHILIP LEE MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1648 S 16TH ST, PHOENIX, AZ 85034-5340
(714) 235-1970
Mailing address
1648 S 16TH ST, PHOENIX, AZ 85034-5340
(714) 235-1970
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
13512
AZ
101YM0800X
Mental Health Counselor
Primary
13512
AZ
104100000X
Social Worker
6128
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100098010B
—
KS
Enumeration date
04/12/2007
Last updated
07/21/2022
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