Individual
JUSTIN WAYNE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1672 SOUTH 48TH STREET, SUITE B, SPRINGDALE, AR 72762
(479) 202-6300
(479) 202-6300
Mailing address
1672 SOUTH 48TH STREET, SUITE B, SPRINGDALE, AR 72762
(479) 202-6300
(479) 202-6300
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
A0711095
AR
101Y00000X
Counselor
Primary
P1107048
AR
Other
Enumeration date
09/30/2008
Last updated
03/11/2021
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