Individual
JENNIFER PHILIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4641 MCKINNEY CT, PARK CITY, UT 84098-8515
(949) 274-5460
Mailing address
4641 MCKINNEY CT, PARK CITY, UT 84098-8515
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
88031
CA
Other
Enumeration date
07/01/2022
Last updated
07/01/2022
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