Individual
CARRIE ANN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
831 COMMONWEALTH AVE, DULUTH, MN 55808-1913
(612) 759-5742
Mailing address
1223 MAYWOOD ST, SAINT PAUL, MN 55117-4133
(612) 759-5742
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
306462
MN
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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