Individual provider · Type 1 NPI
Mary Elizabeth Phillips, MA
Counselor · Alton, IL
NPI number
1265504302
Active
Practice location
611 W. Delmar
Alton, IL 62002
Fax (618) 589-2205
Mailing address
1906 Summerfield Ln
Godfrey, IL 62035-1699
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 180-002722 (IL) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1265504302
Mary Elizabeth Phillips, MA's National Provider Identifier is 1265504302, issued on Nov 14, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Alton, IL. The record was last updated on Apr 1, 2014.