Individual
RYAN P PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
420 E PARK AVE STE 100, GREENVILLE, SC 29601-2237
(864) 561-5752
(864) 271-0402
Mailing address
223 E PARK AVE, GREENVILLE, SC 29601-1633
(864) 561-5752
(864) 271-0402
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4044
SC
Other
Enumeration date
06/29/2006
Last updated
09/03/2010
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