Individual
MS. TRISHA A PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CSADC, MISA I
Contact information
Practice address
773 W LINCOLN BLVD, SUITE 101, FREEPORT, IL 61032-4976
(815) 232-1913
(815) 235-8157
Mailing address
773 W LINCOLN BLVD, SUITE 101, FREEPORT, IL 61032-4976
(815) 232-1913
(815) 235-8157
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
22902
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
60432
IL
101YM0800X
Mental Health Counselor
22902
IL
Other
Enumeration date
10/20/2011
Last updated
02/07/2017
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