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Individual

MR. JOHN RAYMOND PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LAC

Contact information

Practice address
10025 WEST MARKHAM ST, STE. 210, LITTLE ROCK, AR 72205
(501) 663-5473
(501) 801-1816
Mailing address
10025 WEST MARKHAM ST, STE. 210, LITTLE ROCK, AR 72205
(501) 663-5473
(501) 801-1816

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2007002861
MO

Other

Enumeration date
09/01/2009
Last updated
10/02/2013
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