Individual provider · Type 1 NPI

Kyle James Phillip

Mental Health Counselor · Lagrange, IN

NPI number 1730846486 Active

Practice location

836 N Detroit St
Lagrange, IN 46761-1112

Mailing address

2621 E Jefferson St
Warsaw, IN 46580-3880

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1730846486

Kyle James Phillip's National Provider Identifier is 1730846486, issued on Nov 17, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lagrange, IN. The record was last updated on Nov 17, 2021.