Individual provider · Type 1 NPI

Lisa Marie Phillips, BS

Addiction (Substance Use Disorder) Counselor · Berkley, MI

NPI number 1376610154 Active

Practice location

2710 12 Mile Rd
Berkley, MI 48072-1630

Fax (248) 543-0017

Mailing address

19814 Delaware Ave
Redford, MI 48240-1516

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1376610154

Lisa Marie Phillips, BS's National Provider Identifier is 1376610154, issued on Nov 29, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Berkley, MI. The record was last updated on Jul 9, 2007.