Individual
TANYA LYNN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
3279 WINAM AVE, HONOLULU, HI 96815-3812
(815) 757-7690
Mailing address
3279 WINAM AVE, HONOLULU, HI 96815-3812
(815) 757-7690
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC-859
HI
106S00000X
Behavior Technician
—
—
Other
Enumeration date
11/21/2018
Last updated
11/20/2023
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