Individual
MS. PHYLISS KILPATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW-IPR, LCDC
Contact information
Practice address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 466-0388
Mailing address
3851 ROGER BROOKE DR, FORT SAM HOUSTON, TX 78234-4501
(210) 466-0388
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12493
TX
104100000X
Social Worker
36094
TX
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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