Individual
MR. PHILLIP GINSBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC, LPC INTERN
Contact information
Practice address
12345 JONES ROAD SUITE, 287-9, HOUSTON, TX 77064
(832) 375-1700
(832) 375-1600
Mailing address
12345 JONES ROAD SUITE, 287-9, HOUSTON, TX 77064
(832) 375-1700
(832) 375-1600
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11176
TX
101YP2500X
Professional Counselor
66700
TX
106H00000X
Marriage & Family Therapist
201583
TX
Other
Enumeration date
03/10/2011
Last updated
03/10/2011
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