Individual
PHOENIX RIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,LPC
Contact information
Practice address
1322 MAIN ST., PHILOMATH, OR 97370
(541) 929-5065
Mailing address
PO BOX 1394, PHILOMATH, OR 97370-1394
(541) 929-5065
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C1015
OR
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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