Individual provider · Type 1 NPI

Shannon Elizabeth Phillips

Mental Health Counselor · Columbia, SC

NPI number 1710258678 Active

Practice location

2638 Two Notch Rd, Suite 106
Columbia, SC 29204-1454

Mailing address

1051 Southern Dr, # 2709
Columbia, SC 29201-5189

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X20059080 (TX)

Mental Health Counselor: Definition to come...

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About NPI 1710258678

Shannon Elizabeth Phillips's National Provider Identifier is 1710258678, issued on Jan 24, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, SC. The record was last updated on Jan 24, 2012.