Individual
NICOLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
500 W 10TH STREET, WILMINGTON, DE 19801
(302) 984-3380
(302) 984-3324
Mailing address
500 W 10TH STREET, WILMINGTON, DE 19801
(302) 984-3380
(302) 984-3324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1260
DE
Other
Enumeration date
09/17/2014
Last updated
09/17/2014
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