Individual
MR. NATHAN PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
T-LMHC
Contact information
Practice address
1601 MILITARY RD, SIOUX CITY, IA 51103-1715
(712) 252-4547
Mailing address
1601 MILITARY RD, SIOUX CITY, IA 51103-1715
(712) 252-4547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
106258
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106258
T-LMHC
IA
Enumeration date
07/07/2021
Last updated
07/07/2021
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