Edward J Phillips, CYC, CIT-HS-00158
Edward J Phillips, CYC, CIT-HS-00158 is an Addiction (Substance Use Disorder) Counselor in Little Rock, Arkansas. Practices as a sole proprietor. Licensed in Arkansas.
- Licensed in
- AR
- In the registry since
- 2021
- Specialties on file
- 2
Practice location Address checks out
1521 Merrill Dr Ste D220Little Rock, AR 72211
Phone: (501) 666-8686
Fax: (501) 660-6830
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Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X (AR) |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X · Licence CIT-HS-00158 (AR) |
Record details
| NPI number | 1467118075 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CYC , CIT-HS-00158 |
| Sole proprietor | Yes |
| NPI enumerated | November 9, 2021 |
| Last updated in NPPES | July 20, 2022 |
| Certification date | July 20, 2022 |
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