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Carolyn Phillips
Mental Health Counselor in South Lake Tahoe, California
NPI 1891166369

Carolyn Phillips is a Mental Health Counselor based in South Lake Tahoe, CA and is specialized in Mental Health. Carolyn Phillips practices in South Lake Tahoe, CA. The NPI Number for Carolyn Phillips is 1891166369 and holds a License No. (California).

The current practice location address for Carolyn Phillips is 2187 Butler Ave, South Lake Tahoe, CA and can be reached out via phone at 530-919-8988.

Location: 2187 Butler Ave, South Lake Tahoe, CA, 96151-7010
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891166369
Provider Name
Carolyn Phillips
Credential
Provider Entity Type
Individual
Gender
Female
Address
2187 Butler Ave, South Lake Tahoe, CA, 96151-7010
Phone Number
530-919-8988
Fax Number
Provider Enumeration Date
10/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2187 Butler Ave
City
South Lake Tahoe
State
California
Zip
96150-4426
Phone Number
530-919-8988
Fax Number
person
Provider Business Mailing Address Details
Address
2187 Butler Ave
City
South Lake Tahoe
State
California
Zip
96150-4426
Phone Number
530-919-8988
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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