Individual
ANNIE LANE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, PH.D
Contact information
Practice address
817 LINKHORN DR, VIRGINIA BEACH, VA 23451-3920
(757) 651-3001
Mailing address
817 LINKHORN DR, VIRGINIA BEACH, VA 23451-3920
(757) 651-3001
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701004521
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007770359
—
VA
Enumeration date
01/16/2009
Last updated
10/06/2015
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