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Mr. Craig Robert Phillips
Professional Counselor in Fond Du Lac, Wisconsin
NPI 1861817421

Craig Robert Phillips is a Professional Counselor based in Fond Du Lac, WI and is specialized in Professional. Craig Robert Phillips practices in Fond Du Lac, WI. The NPI Number for Craig Robert Phillips is 1861817421 and holds a License No. 5936-125 (Wisconsin).

The current practice location address for Craig Robert Phillips is Physis Counseling Llc, Fond Du Lac, WI and can be reached out via phone at 920-960-8051.

Location: Physis Counseling Llc, Fond Du Lac, WI, 54935
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861817421
Provider Name
Craig Robert Phillips
Credential
Provider Entity Type
Individual
Gender
Male
Address
Physis Counseling Llc, Fond Du Lac, WI, 54935
Phone Number
920-960-8051
Fax Number
Provider Enumeration Date
02/19/2014
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1861817421 05 WI
100036100 05 WI
institution
Provider Business Practice Location Address Details
Address
Physis Counseling Llc
City
Fond Du Lac
State
Wisconsin
Zip
54935-3556
Phone Number
920-960-8051
Fax Number
person
Provider Business Mailing Address Details
Address
Physis Counseling Llc
City
Fond Du Lac
State
Wisconsin
Zip
54935-3556
Phone Number
920-960-8051
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
5936-125 (Wisconsin)
Definition
Definition to come...
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