Individual
JEANETTE BROOKE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1708
(614) 445-8131
Mailing address
1791 ALUM CREEK DR, COLUMBUS, OH 43207-1757
(614) 445-8131
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/05/2021
Last updated
10/11/2021
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