Individual
MR. PHILIP A. PREWETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
1123 HILL ST SE STE B, ALBANY, OR 97322-3292
(541) 704-7304
(541) 248-3467
Mailing address
1123 HILL ST SE STE B, ALBANY, OR 97322-3292
(541) 704-7304
(541) 248-3467
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
T0389
MS
106H00000X
Marriage & Family Therapist
Primary
T0751
OR
Other
Enumeration date
01/17/2007
Last updated
04/14/2018
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