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Michael Phillips JR.
Counselor in Somerville, Massachusetts
NPI 1013312578

Michael Phillips JR. is a Counselor based in Somerville, MA. Michael Phillips JR. practices in Somerville, MA. The NPI Number for Michael Phillips JR. is 1013312578 and holds a License No. S97347966 (Massachusetts).

The current practice location address for Michael Phillips JR. is 11 Ward St Ste 200, Somerville, MA and can be reached out via phone at 617-629-6790. You can also correspond with Michael Phillips JR. through the mailing address at 11 WARD ST STE 200, SOMERVILLE, MA - 02143-4214 (mailing address contact number: ).

Location: 11 Ward St Ste 200, Somerville, MA, 02143-4214
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013312578
Provider Name
Michael Phillips JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
11 Ward St Ste 200, Somerville, MA, 02143-4214
Phone Number
617-629-6790
Fax Number
Provider Enumeration Date
10/27/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11 Ward St Ste 200
City
Somerville
State
Massachusetts
Zip
02143-4214
Phone Number
617-629-6790
Fax Number
person
Provider Business Mailing Address Details
Address
11 Ward St Ste 200
City
Somerville
State
Massachusetts
Zip
02143-4214
Phone Number
617-629-6790
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
S97347966 (Massachusetts)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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