person
Jerry Franklin Phillips, LMHC
Mental Health Counselor in Fruitland Park, Florida
NPI 1114103751

Jerry Franklin Phillips is a Mental Health Counselor based in Fruitland Park, FL and is specialized in Mental Health. Jerry Franklin Phillips practices in Fruitland Park, FL and has the professional credentials of LMHC. The NPI Number for Jerry Franklin Phillips is 1114103751 and holds a License No. M-4358 (Florida).

The current practice location address for Jerry Franklin Phillips is 3420 Hwy 27/441, Fruitland Park, FL and can be reached out via phone at 352-435-4631 and via fax at 352-435-4632.

Location: 3420 Hwy 27/441, Fruitland Park, FL, 34731-4474
person
Provider Profile Details
NPI Number
1114103751
Provider Name
Jerry Franklin Phillips
Credential
LMHC
Provider Entity Type
Individual
Gender
Male
Address
3420 Hwy 27/441, Fruitland Park, FL, 34731-4474
Phone Number
352-435-4631
Fax Number
352-435-4632
Provider Enumeration Date
01/14/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M-4358 01 FL LMHC
institution
Provider Business Practice Location Address Details
Address
3420 Hwy 27/441
City
State
Zip
34731-4474
Phone Number
352-435-4631
Fax Number
352-435-4632
person
Provider Business Mailing Address Details
Address
3420 Hwy 27/441
City
State
Zip
34731-4474
Phone Number
352-435-4631
Fax Number
352-435-4632
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
M-4358 (Florida)
Definition
Definition to come...
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