Individual
TRICIA L PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC, CCJP
Contact information
Practice address
13160 COUNTY RD. 3610, ST. JAMES, MO 65559-9989
(573) 265-3251
(573) 265-8363
Mailing address
11825 PRIVATE DRIVE 5136, ROLLA, MO 65401-5909
(573) 647-1746
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2005038745
MO
Other
Enumeration date
11/20/2006
Last updated
09/11/2009
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