Individual
MS. JANET GAYLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED MENTAL HEAL
Contact information
Practice address
109 SUNSET DR, COCOA BEACH, FL 32931
(321) 783-4087
Mailing address
109 SUNSET DR, COCOA BEACH, FL 32931
(321) 783-4087
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH1093
FL
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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