Individual
GEOFFERY D PHILLIP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1306 11TH AVE, GREELEY, CO 80631
(970) 347-2120
(970) 300-3127
Mailing address
1300 N 17TH AVE, GREELEY, CO 80631-9584
(970) 347-2120
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
0014702
CO
Other
Enumeration date
04/29/2014
Last updated
06/21/2018
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