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Individual

MR. CRAIG ROBERT PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
PHYSIS COUNSELING LLC, 770 SOUTH MAIN ST SUITE 24, FOND DU LAC, WI 54935-3556
(920) 960-8051
Mailing address
PHYSIS COUNSELING LLC, 770 SOUTH MAIN ST SUITE 24, FOND DU LAC, WI 54935
(920) 960-8051

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5936-125
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100036100
WI
05
1861817421
WI
Enumeration date
02/19/2014
Last updated
11/14/2024
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