Individual
MR. DOUGLAS PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
535 W SYCAMORE ST, ZIONSVILLE, IN 46077-1756
(317) 370-7280
Mailing address
535 W SYCAMORE ST, ZIONSVILLE, IN 46077-1756
(317) 370-7280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
87000477A
IN
101YM0800X
Mental Health Counselor
Primary
39002143A
IN
Other
Enumeration date
01/27/2015
Last updated
01/27/2015
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