MEDICARE: JOSHUA PAUL PHILLIPS LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	LPC-19939	AZ

General Provider Information

NPI Number	:	1285304584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA PAUL PHILLIPS LPC

Provider Business Mailing Address
First Line	:	16609 N 34TH PL
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2776
Country	:	US
Telephone Number	:	970-260-8286
Fax Number	:

Provider Business Practice Location Address
First Line	:	4117 N 17TH ST
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85016-5921
Country	:	US
Telephone Number	:	623-239-2312
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2021
Last Update Date	:	08/19/2024

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Directions to “ JOSHUA PAUL PHILLIPS LPC” Practice Location

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