Individual
CORINNE NAOMI PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3235 ELECTRIC RD BLDG B, ROANOKE, VA 24018-0192
(423) 863-8663
Mailing address
3102 WOODLAWN AVE SW, ROANOKE, VA 24015-4226
(423) 863-8663
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007018
VA
101YP2500X
Professional Counselor
3713
TN
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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