Individual
CHRISTA NICOLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
1901 S 4TH ST STE 213, EFFINGHAM, IL 62401-4188
(217) 347-5880
Mailing address
501 W SAINT ANTHONY AVE APT A, EFFINGHAM, IL 62401-2326
(217) 329-9868
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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