Individual
HUBERTA L PHIPPS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1525 ADDISON AVE E, 1369 E 16TH ST, TWIN FALLS, ID 83301
(208) 734-4809
(208) 733-0120
Mailing address
1525 ADDISON AVE E, TWIN FALLS, ID 83301
(208) 734-4809
(208) 733-0120
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LCPC342
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000010027562
BLUE SHIELD
ID
01
—
Q1299
BLUE CROSS
ID
Enumeration date
03/01/2006
Last updated
07/08/2007
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