Individual
DR. DIANE LYNN PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
1353 YUKON HARBOR RD SE, PORT ORCHARD, WA 98366-8576
(360) 871-5494
(360) 871-5499
Mailing address
PO BOX 487 MANCHESTER 98353, 1353 YUKON HARBOR SE, PORT ORCHARD, WA 98366
(360) 871-5494
(360) 871-5499
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00006197
WA
Other
Enumeration date
06/26/2007
Last updated
07/08/2007
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