Individual
ERICA JOY PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
11250 ROGER BACON DR # 15-303, RESTON, VA 20190-5219
(571) 290-2136
Mailing address
1206 16TH ST NE, WASHINGTON, DC 20002-2502
(270) 452-1424
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0704009087
VA
Other
Enumeration date
02/18/2020
Last updated
02/18/2020
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