Individual
KENT PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
THERAPIST
Contact information
Practice address
4862 E BASELINE RD STE 108, MESA, AZ 85206-4668
(480) 981-2405
(480) 306-6236
Mailing address
4862 E BASELINE RD STE 108, MESA, AZ 85206-4668
(480) 981-2405
(480) 306-6236
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/25/2018
Last updated
05/25/2018
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