Individual
MRS. MICHELLE MARIE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC
Contact information
Practice address
6007 N 21ST ST, OZARK, MO 65721-7634
(417) 581-6911
(417) 581-6901
Mailing address
6007 N 21ST ST, OZARK, MO 65721-7634
(417) 581-6911
(417) 581-6901
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2004014992
MO
Other
Enumeration date
02/13/2007
Last updated
07/09/2007
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