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Individual

MRS. CONSTANCE DENISE PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LCDC, CDVC

Contact information

Practice address
18711 ABIDING CT, HOUSTON, TX 77073-1915
(832) 706-7364
(832) 201-0620
Mailing address
18711 ABIDING CT, HOUSTON, TX 77073-1915
(832) 706-7364

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
23679
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8315
TX

Other

Enumeration date
11/18/2020
Last updated
11/18/2020
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