Individual
ALENA M PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPCC
Contact information
Practice address
408 9TH ST SW, CANTON, OH 44707-4714
(330) 454-2000
Mailing address
1338 GLENWOOD AVE SE, MASSILLON, OH 44646-8002
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1700747
OH
101Y00000X
Counselor
Primary
E.2001970
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0294729
—
OH
Enumeration date
06/28/2017
Last updated
02/17/2021
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