Individual
KYLIE PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3033 CAMPUS DR STE W225, MINNEAPOLIS, MN 55441-2752
(415) 504-3838
(415) 504-1367
Mailing address
PO BOX 3189, SAN MARCOS, TX 78667-2717
(512) 298-4854
(512) 298-4854
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0017923
CO
101Y00000X
Counselor
2022029205
MO
101Y00000X
Counselor
Primary
70475
TX
Other
Enumeration date
09/09/2016
Last updated
08/01/2022
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