Individual
PHYLLIS SUTPHIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
110 HARMON LN, SUITE B, KERNERSVILLE, NC 27284-3472
(336) 993-3770
(336) 993-0277
Mailing address
110 HARMON LN, SUITE B, KERNERSVILLE, NC 27284-3472
(336) 993-3770
(336) 993-0277
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3571
NC
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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