Individual
MR. ALTON CHARLES PHILLIPS SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PARAPROFESSIONAL
Contact information
Practice address
4400SHUFFIELD DRIVE, LITTLE ROCK, AR 72204
(501) 993-8274
Mailing address
4400 SHUFFIELD DR, LITTLE ROCK, AR 72205-7100
(501) 993-8274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/16/2012
Last updated
10/16/2012
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