Individual
JESSICA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11618 CLAYTON BLVD STE 202, CLAYTON, NC 27520-2276
(919) 550-4910
Mailing address
1411 PINECREST RD, ROCKY MOUNT, NC 27803-1832
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A23081
NC
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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