Individual
MILDRED LADEAN PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCAS
Contact information
Practice address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Mailing address
284 EXECUTIVE PARK DR, SUITE 100, CONCORD, NC 28025-1831
(704) 939-1100
(704) 939-1173
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
129
NC
101YM0800X
Mental Health Counselor
3258
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6102362
—
NC
Enumeration date
12/19/2007
Last updated
07/31/2013
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