Individual
MRS. ANDREA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PLMHP
Contact information
Practice address
9110 FOXTAIL DR, LINCOLN, NE 68526-9521
(402) 730-7841
Mailing address
5901 S 97TH ST, LINCOLN, NE 68526-9758
(402) 730-7841
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7975
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025423500
—
NE
Enumeration date
09/20/2006
Last updated
07/08/2007
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