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Individual

BRENT RAY PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
315 W MCLAIN DR, SHERMAN, TX 75092-2605
(903) 957-4701
(903) 957-4745
Mailing address
PO BOX 1087, SHERMAN, TX 75091-1087
(903) 957-4701
(903) 957-4745

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
64773
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
64773
TEXAS STATE BOARD OF EXAMINERS OF PROFESSIONAL COUNSELORS
TX
Enumeration date
07/27/2010
Last updated
07/27/2010
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