Individual
MR. PHILIP KARL PAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
1017 BIRDSONG DR APT W315, BAYTOWN, TX 77521-3250
(832) 984-8070
Mailing address
1017 BIRDSONG DR APT W315, BAYTOWN, TX 77521-3250
(832) 984-8070
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/30/2019
Last updated
12/30/2019
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