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Individual

SHANNA N PHILLIPS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA

Contact information

Practice address
1313 QUARRIER ST, CHARLESTON, WV 25301-6002
(304) 981-1412
Mailing address
15 HIGH MEADOW DR, CHARLESTON, WV 25311-9734

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
03/10/2022
Last updated
05/14/2025
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