person
Phillis Johnson-haywood, LPC
Professional Counselor in O Fallon, Illinois
NPI 1699343749

Phillis Johnson-haywood is a Professional Counselor based in O Fallon, IL and is specialized in Professional. Phillis Johnson-haywood practices in O Fallon, IL and has the professional credentials of LPC. The NPI Number for Phillis Johnson-haywood is 1699343749 and holds a License No. 2021022053 (Illinois).

The current practice location address for Phillis Johnson-haywood is 1468 Manchester Dr, O Fallon, IL and can be reached out via phone at 314-210-1986.

Location: 1468 Manchester Dr, O Fallon, IL, 62269-7272
person
Provider Profile Details
NPI Number
1699343749
Provider Name
Phillis Johnson-haywood
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1468 Manchester Dr, O Fallon, IL, 62269-7272
Phone Number
314-210-1986
Fax Number
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1468 Manchester Dr
City
State
Zip
62269-7272
Phone Number
314-210-1986
Fax Number
person
Provider Business Mailing Address Details
Address
1468 Manchester Dr
City
State
Zip
62269-7272
Phone Number
314-210-1986
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2021022053 (Missouri)
Definition
Definition to come...
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