Individual
STEPHANIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
516 N ROLLING RD STE 305, CATONSVILLE, MD 21228-4142
(410) 371-6091
Mailing address
3 GONDOLA VIEW CT, WOODSTOCK, MD 21163-1136
(410) 371-6091
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LGA3011
MD
101YM0800X
Mental Health Counselor
LGA3011
MD
Other
Enumeration date
11/19/2021
Last updated
12/03/2021
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