Individual provider · Type 1 NPI
Phillis Johnson-Haywood, LPC
Professional Counselor · O Fallon, IL
NPI number
1699343749
Active
Practice location
1468 Manchester Dr
O Fallon, IL 62269-7272
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2021022053 (MO) |
Professional Counselor: Definition to come...
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About NPI 1699343749
Phillis Johnson-Haywood, LPC's National Provider Identifier is 1699343749, issued on Jun 15, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in O Fallon, IL. The record was last updated on Jun 16, 2021.