Individual
MCKAYLA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCDP
Contact information
Practice address
245 MAIN ST, WOONSOCKET, RI 02895-3123
(401) 235-7000
Mailing address
PO BOX 1700, WOONSOCKET, RI 02895-0856
(401) 235-7000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00859
RI
Other
Enumeration date
02/19/2021
Last updated
02/19/2021
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