Individual
PHYLLIS YEVETTE ST.JOHN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS-P,LPCA, CRC
Contact information
Practice address
301 S CHURCH ST, ROCKY MOUNT, NC 27804-5755
(252) 467-2860
(252) 467-2865
Mailing address
3928 LANDING BROOK DR, RALEIGH, NC 27616-8876
(757) 329-6221
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
NC
101YP2500X
Professional Counselor
Primary
—
NC
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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