Individual
DONALD FREDERICK ODELL PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC-INTERN
Contact information
Practice address
110 HICKORY ST NW, ALBANY, OR 97321-1724
(541) 760-2197
(833) 224-3845
Mailing address
110 HICKORY ST NW, ALBANY, OR 97321-1724
(541) 760-2197
(833) 224-3845
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
R5774
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R5774
OREGON BOARD OF PROFESSIONAL COUNSELORS AND THERAPISTS
OR
Enumeration date
03/01/2021
Last updated
03/01/2021
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