Individual
DAVID W PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
15221 STATE ROUTE 772, PIKETON, OH 45661-9062
(740) 493-4260
Mailing address
12319 SR 104, APT A, WAVERLY, OH 45690
(740) 990-6751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
04/19/2023
Last updated
04/19/2023
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