Individual
PHYLLIS B RYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
650 LAUREL STREET, CULPEPER, VA 22701
(540) 825-5656
(540) 825-1612
Mailing address
PO BOX 1568, CULPEPER, VA 22701
(540) 825-3100
(540) 825-6245
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701002830
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4945361
—
VA
Enumeration date
10/03/2006
Last updated
07/08/2007
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