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Individual

VERNIE PHILLIPS JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW, LISAC

Contact information

Practice address
943 HUALAPAI WAY, PEACH SPRINGS, AZ 86434-0190
(928) 769-2204
(928) 769-2701
Mailing address
PO BOX 443, PEACH SPRINGS, AZ 86434-0443

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
SA-1140
AZ
104100000X
Social Worker
SW-2296M
AZ

Other

Enumeration date
04/12/2007
Last updated
09/11/2025
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