Individual
MARY PHILIPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LLP
Contact information
Practice address
2615 STADIUM DR, KALAMAZOO, MI 49008-1654
(269) 343-1651
(269) 382-7078
Mailing address
4017 W MAIN ST STE 100, KALAMAZOO, MI 49006-3731
(269) 763-5250
(269) 775-1288
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6301006162
MI
101YM0800X
Mental Health Counselor
6301006162
MI
Other
Enumeration date
05/22/2012
Last updated
01/05/2017
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