Individual
AMIA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
1 E SUPERIOR ST, CHICAGO, IL 60611-2507
(505) 315-8953
Mailing address
741 MOROSGO DR NE APT 1316, ATLANTA, GA 30324-3576
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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