Individual
MRS. JANNA MARIE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
784 FARMINGTON AVE, WEST HARTFORD, CT 06119-1619
(860) 523-4450
Mailing address
75 FOXCROFT RD, WEST HARTFORD, CT 06119-1060
(303) 507-6345
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1524
CO
Other
Enumeration date
12/01/2010
Last updated
10/08/2020
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