Individual
JUSTIN CASEY PHILLIPPI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1017 11TH ST S, MOORHEAD, MN 56560-3616
(701) 388-9346
Mailing address
1017 11TH ST S, MOORHEAD, MN 56560-3616
(701) 388-9346
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
05/05/2025
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