Individual
MS. PHYLIS B RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
102 W 5TH ST, THIBODAUX, LA 70301-3120
(985) 413-5137
(985) 413-5137
Mailing address
316 BRANDYWINE BLVD, THIBODAUX, LA 70301-6157
(985) 413-5137
(985) 413-5137
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3678
LA
Other
Enumeration date
01/18/2014
Last updated
08/19/2015
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