Individual
PHILLIP CHARLES LIBRIZZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
645 SOUTH ROGERS STREET, BLOOMINGTON, IN 47403
(812) 339-1691
(812) 339-8109
Mailing address
645 SOUTH ROGERS STREET, BLOOMINGTON, IN 47403
(812) 339-1691
(812) 339-8109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39001373A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000357949
ANTHEM
—
Enumeration date
12/01/2005
Last updated
07/08/2007
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