Individual
MS. EDNA M. PHIPPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
139 C BAKER STREET, EMPORIA, VA 23287
(804) 221-0813
(434) 336-1516
Mailing address
6812 KILCHURN CT, HENRICO, VA 23231-7249
(804) 221-0813
(434) 336-1516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0904002630
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1750610465
—
VA
Enumeration date
09/28/2006
Last updated
05/21/2010
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