Individual
PAUL D PHILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1207 GOLF COURSE RD NE, SUITE C, RIO RANCHO, NM 87124
(505) 994-1229
Mailing address
527 BRIANNA LOOP NE, ALBUQUERQUE, NM 87113-1479
(505) 414-4029
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NM
Other
Enumeration date
06/09/2020
Last updated
06/09/2020
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