Individual provider · Type 1 NPI

Ryan Coburn-Phillips

Mental Health Counselor · Buffalo, NY

NPI number 1508416033 Active

Practice location

699 Hertel Ave Ste 350
Buffalo, NY 14207-2341

Mailing address

55 Dodge Rd
Getzville, NY 14068-1205

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1508416033

Ryan Coburn-Phillips's National Provider Identifier is 1508416033, issued on Sep 17, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Buffalo, NY. The record was last updated on Aug 15, 2024.