Individual
MISS SHANNON ELIZABETH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2638 TWO NOTCH RD, SUITE 106, COLUMBIA, SC 29204-1454
(803) 898-0210
Mailing address
1051 SOUTHERN DR, # 2709, COLUMBIA, SC 29201-5189
(972) 898-8505
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
20059080
TX
Other
Enumeration date
01/24/2012
Last updated
01/24/2012
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