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Individual

PHILLIP MICHAEL TONGIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMLP, LPC, J.D.

Contact information

Practice address
2990 MILITARY AVE, BAXTER SPRINGS, KS 66713-2331
(620) 856-2900
(620) 856-2901
Mailing address
3011 N MICHIGAN ST, PITTSBURG, KS 66762-2546
(620) 231-9873
(620) 231-5062

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
413
KS
103T00000X
Psychologist
Primary
290
KS

Other

Enumeration date
02/07/2007
Last updated
05/18/2016
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