Individual
GREGORY NEILL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSWA, LCASA
Contact information
Practice address
1014 HAY ST, FAYETTEVILLE, NC 28305-5316
(910) 500-3046
(910) 900-3100
Mailing address
5579 HALLWOOD DR, HOPE MILLS, NC 28348-2864
(910) 689-5621
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
23146
NC
101YM0800X
Mental Health Counselor
Primary
P016042
NC
101YM0800X
Mental Health Counselor
PO12034
NC
Other
Enumeration date
07/06/2017
Last updated
11/11/2021
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