Individual
DALVINA GREEN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LPC
Contact information
Practice address
1721 SHIVERS RD, COLUMBIA, SC 29210-5413
(803) 896-7462
Mailing address
221 HILLSBOROUGH RD, COLUMBIA, SC 29212-3639
(864) 275-6528
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6450
SC
103T00000X
Psychologist
—
—
Other
Enumeration date
11/10/2015
Last updated
04/22/2019
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