Individual
CHRISTOPHER D PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSWA, LCASA
Contact information
Practice address
3200 WAKE FOREST RD, SUITE 200, RALEIGH, NC 27609-7451
(919) 872-1441
Mailing address
209 W HARNETT ST, BENSON, NC 27504-1635
(919) 795-0097
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3405-A
NC
101YM0800X
Mental Health Counselor
Primary
P008378
NC
Other
Enumeration date
09/12/2013
Last updated
09/12/2013
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