Individual
KADESHA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA/CHHA
Contact information
Practice address
13552 HIGHWAY 82 TRLR 5, TAHLEQUAH, OK 74464-0484
(918) 525-7803
Mailing address
13552 HIGHWAY 82 TRLR 5, TAHLEQUAH, OK 74464-0484
(918) 525-7803
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/26/2025
Last updated
06/26/2025
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