Individual
BONNIE B MCPHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC CRADC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
17021
IL
101YP2500X
Professional Counselor
Primary
180003971
IL
Other
Enumeration date
08/09/2010
Last updated
08/09/2010
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