Individual
PHILLIP DAVID REDDEN II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7131 INGERSOLL STREET, FORT BENNING, GA 31905
(706) 545-2289
Mailing address
7131 INGERSOLL STREET, FORT BENNING, GA 31905
(706) 545-2289
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
205524
TX
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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