Individual
MR. STACEY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAPC
Contact information
Practice address
507 N DAVIS DR STE 1A, WARNER ROBINS, GA 31093-2687
(478) 231-9623
Mailing address
507 N DAVIS DR STE 1A, WARNER ROBINS, GA 31093-2687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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