Individual
CASANDRA IRENE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11301 WILSHIRE BLVD BLDG 257, LOS ANGELES, CA 90073-1003
(310) 478-3711
Mailing address
11301 WILSHIRE BLVD BLDG 257, LOS ANGELES, CA 90073-1003
(103) 478-3711
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
193326
CA
101YM0800X
Mental Health Counselor
—
—
1041C0700X
Clinical Social Worker
LCSW121231
CA
Other
Enumeration date
07/14/2020
Last updated
03/13/2024
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