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Gerald Anthony Phillips, BA

Counselor, Addiction (Substance Use Disorder) in Springfield, MA. Individual provider (NPI-1).

NPI number1871237693
StatusActive
Last updated in NPPESApr 27, 2022

Details

NPI
1871237693
Entity type
Individual (NPI-1)
Name
Gerald Anthony Phillips
Credential
BA
Sex
Male
Sole proprietor
No
Enumeration date
Apr 27, 2022
Certification date
Apr 12, 2022
Last updated
Apr 27, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

511 E Columbus Ave
Springfield, MA 01105-2506

Phone 413-733-3488

Mailing address

511 E Columbus Ave
Springfield, MA 01105-2506

Phone 413-733-3488

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