Individual
CHRISTA LYNN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1341 W HILL AVE, VALDOSTA, GA 31601-5235
(229) 249-7730
Mailing address
710 SECOND ST, STONE MOUNTAIN, GA 30083-3722
(404) 822-3516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/14/2023
Last updated
03/14/2023
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