Individual
MS. SAMATRA L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, MAC, ICAADC, CPR
Contact information
Practice address
6800 DAHLONEGA HWY, CUMMING, GA 30028-5595
(404) 838-1271
Mailing address
4868 OZMENT TRL, LITHONIA, GA 30038-6208
(404) 838-1271
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/25/2015
Last updated
11/26/2022
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