Individual
MR. PHILLIP JEAN-LOUIS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 S COLLEGE RD, LAFAYETTE, LA 70503-3212
(337) 205-6073
(337) 264-9282
Mailing address
315 S COLLEGE RD, LAFAYETTE, LA 70503-3212
(337) 205-6073
(337) 264-9282
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
101YMO800X
LA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/26/2015
Last updated
05/23/2019
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