Individual
DR. RICKY JOE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LCC
Contact information
Practice address
4346 TERRACE LN SE, KENTWOOD, MI 49512-5602
(616) 427-3212
Mailing address
4346 TERRACE LN SE, KENTWOOD, MI 49512-5602
(616) 427-3212
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
1137
MI
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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