Individual provider · Type 1 NPI
Brandon Phillips
Mental Health Counselor · Centalia, WA
NPI number
1790386142
Active
Practice location
2428 W Reynolds Ave
Centalia, WA 98531-4554
Fax (360) 736-3139
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1790386142
Brandon Phillips's National Provider Identifier is 1790386142, issued on Nov 3, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Centalia, WA. The record was last updated on Nov 3, 2020.