Individual
TENIKKA PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
517 9TH ST STE 2B, HUNTINGTON, WV 25701-2020
(304) 781-4474
Mailing address
5227 MAYS BRANCH RD, LAVALETTE, WV 25535-9741
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2041
WV
Other
Enumeration date
04/08/2020
Last updated
04/08/2020
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