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Individual

JANIYA T PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
283 CONSTITUTION DR STE 600, VIRGINIA BEACH, VA 23462-6760
(757) 436-0605
Mailing address
283 CONSTITUTION DR STE 600, VIRGINIA BEACH, VA 23462-6760
(757) 802-4619
(757) 319-4092

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701007825
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0701007825
LICENSED PROFESSIONAL COUNSELOR
VA
05
601313152
VA
Enumeration date
08/15/2018
Last updated
11/28/2023
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