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Organization

RYAN PHILLIPS LPC, L.L.C.

Active
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Organization

RYAN PHILLIPS LPC, L.L.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. RYAN DALE PHILLIPS LPC, NCC, MED (LICENSED PROFESSIONAL COUNSELOR)
(225) 278-6178
Entity
Organization

Contact information

Practice address
15273A MILLDALE RD, ZACHARY, LA 70791-8013
(225) 278-6178
Mailing address
15273A MILLDALE RD, ZACHARY, LA 70791-8013
(225) 278-6178

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
5379
LA

Other

Enumeration date
06/30/2015
Last updated
07/13/2015
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