Individual
JORDAN FAITH PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
629 WESTERN RD, WAYNESBORO, VA 22980-5626
(540) 292-5512
Mailing address
629 WESTERN RD, WAYNESBORO, VA 22980-5626
(540) 292-5512
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701012465
VA
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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