Individual
DONALD L PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LPC, NCC, MAC
Contact information
Practice address
250 GOVERNOR'S DRIVE, SUITE J, HUNTSVILLE, AL 35801-2710
(256) 489-2380
(256) 489-2381
Mailing address
250 GOVERNOR'S DRIVE, SUITE J, HUNTSVILLE, AL 35801-2710
(256) 489-2380
(256) 489-2381
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2517
AL
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51121040
BLUE CROSS
AL
01
—
51528995
BCBS
AL
01
—
51591943
BCBS
AL
01
—
51593458
BCBS
AL
Enumeration date
08/08/2006
Last updated
01/27/2012
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