Individual
MR. RYAN DALE PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
12250 GREENWELL SPRINGS RD, BATON ROUGE, LA 70814-6335
(225) 278-6178
(225) 262-5822
Mailing address
15273A MILLDALE RD, ZACHARY, LA 70791-8013
(225) 278-6178
(225) 262-5822
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5379
LA
Other
Enumeration date
04/15/2016
Last updated
04/15/2016
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