Individual
CASSANDRA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHCA, LCASA
Contact information
Practice address
3012 FALSTAFF RD, RALEIGH, NC 27610-1813
(919) 615-1027
Mailing address
5167 DENTON RD, MIDDLESEX, NC 27557-8554
(614) 843-0564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A16001
NC
Other
Enumeration date
12/01/2020
Last updated
12/01/2020
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