Individual
ANTHONIE JUSTIN PHILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC, LADC
Contact information
Practice address
281 MAIN STREET, BIDDEFORD, ME 04005
(207) 494-8010
(207) 494-8471
Mailing address
275 MAIN STREET, SUITE 205, BIDDEFORD, ME 04005
(207) 391-0347
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAC6938
ME
101YP2500X
Professional Counselor
Primary
CC7079
ME
Other
Enumeration date
03/19/2020
Last updated
04/15/2025
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