Individual
REAGAN CROYLE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3644A RAINBOW DR, RAINBOW CITY, AL 35906-6313
(256) 613-2678
Mailing address
PO BOX 101, GADSDEN, AL 35902-0101
(256) 458-3201
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
ALC-C3558A
AL
Other
Enumeration date
09/02/2020
Last updated
08/25/2022
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