Individual
GINGER PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(360) 384-2330
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002627
WA
164W00000X
Licensed Practical Nurse
LP00045514
WA
Other
Enumeration date
03/22/2012
Last updated
12/22/2023
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