Individual
DR. GENEIVA DIANNE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
6825 EASTLAKE RD, STERLINGTON, LA 71280-3205
(318) 665-2805
(318) 665-2805
Mailing address
6825 EASTLAKE RD, STERLINGTON, LA 71280-3205
(318) 665-2805
(318) 665-2805
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
163
LA
101YM0800X
Mental Health Counselor
4011
TX
106H00000X
Marriage & Family Therapist
Primary
163
LA
106H00000X
Marriage & Family Therapist
4011
TX
Other
Enumeration date
09/08/2009
Last updated
11/23/2009
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