Individual
HERSTON L PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR, FAIRFAX, VA 22031-4530
(571) 423-4900
Mailing address
8260 WILLOW OAKS CO DR, FAIRFAX, VA 22031-4513
(561) 891-7456
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
FL
101YM0800X
Mental Health Counselor
Primary
—
—
1041S0200X
School Social Worker
Primary
PPS-0609127
VA
Other
Enumeration date
03/04/2021
Last updated
04/22/2026
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