Individual provider · Type 1 NPI
Justin David Phillips, MAMFC, NCC, ALC
Mental Health Counselor · Mount Olive, AL
NPI number
1033630579
Active
Practice location
3396 Mount Olive Rd
Mount Olive, AL 35117-3710
Fax (205) 631-4156
Mailing address
554 Whittaker Pl
Leeds, AL 35094-4928
Other practice locations
- 265 Curry Hwy, Jasper, AL 35503-7546 · (205) 384-3501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | C2365A (AL) |
| Mental Health Counselor | 101YM0800X | C2365A (AL) |
| Professional Counselor | 101YP2500X | C2365A (AL) |
| Mental Health Counselor Primary | 101YM0800X | 3758 (AL) |
Mental Health Counselor: Definition to come...
About NPI 1033630579
Justin David Phillips, MAMFC, NCC, ALC's National Provider Identifier is 1033630579, issued on Jul 6, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Mount Olive, AL. The record was last updated on Mar 17, 2018.