Individual
HEATHER LYN PHILP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW, CADC II
Contact information
Practice address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-3509
Mailing address
8495 CRATER LAKE HWY, WHITE CITY, OR 97503-3011
(541) 826-2111
(541) 830-3509
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
L6921
OR
Other
Enumeration date
08/08/2008
Last updated
03/29/2016
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