Individual
DIANA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
350 MEMORIAL PKWY, BLOOMFIELD, NJ 07003
(305) 510-7799
Mailing address
350 MEMORIAL PKWY, BLOOMFIELD, NJ 07003-4263
(305) 510-7799
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
37PC00608500
NJ
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
03/16/2014
Last updated
06/22/2018
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