Doctor Name: | MR. DON STEVEN PHILLIPS |
NPI Number: | 1104958875 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC LICDC |
License Number: | 892643 |
Business Practice Address: | 1023 Fair Rd Sidney, OH - 45365 |
Business Phone Number: | 9374929900 |
Business Fax Number: | 9374929699 |
Mailing Address: | 1023 Fair Rd, SIDNEY |
State: | OH |
Postal Code: | 45365 |
Phone Number: | 9374929900 |
Fax Number: | 9374929699 |
NPI Enumeration Date: | 03/09/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 892643 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |