| Doctor Name: | PHILLIP CARBAUGH |
| NPI Number: | 1063732907 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.S., L.P.C., N.C.C. |
| License Number: | PC007059 |
| Business Practice Address: | 1112 Kennebec Dr Chambersburg, PA - 172012882 |
| Business Phone Number: | 7178300705 |
| Business Fax Number: | 7174460659 |
| Mailing Address: | 1112 Kennebec Dr, CHAMBERSBURG |
| State: | PA |
| Postal Code: | 172012882 |
| Phone Number: | 7178300705 |
| Fax Number: | |
| NPI Enumeration Date: | 06/02/2010 |
| NPI Last Update Date: | 03/29/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | PC007059 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |