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Individual

JORDAN PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, M.ED

Contact information

Practice address
713 BIGLEY AVE, CHARLESTON, WV 25302-3356
(304) 746-2918
Mailing address
1 BAPTIST LN, DINGESS, WV 25671-6496
(304) 746-2918

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
WV

Other

Enumeration date
05/28/2026
Last updated
05/28/2026
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