Cori Valdene Phillips
Counselor in Tulsa, OK. Individual provider (NPI-1).
NPI number1174828107
StatusActive
Last updated in NPPESNov 19, 2012
Details
- NPI
- 1174828107
- Entity type
- Individual (NPI-1)
- Name
- Mr. Cori Valdene Phillips
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 23, 2011
- Last updated
- Nov 19, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | Under Supervision | – | Yes |
Practice location
1704 E 73rd St Apt 702Tulsa, OK 74136-7410
Phone 404-895-6122
Mailing address
1704 E 73rd St Apt 702Tulsa, OK 74136-7410
Phone 404-895-6122
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