Individual provider · Type 1 NPI
Ryan Dale Phillips, LPC
Professional Counselor · Baton Rouge, LA
NPI number
1902250962
Active
Practice location
12250 Greenwell Springs Rd
Baton Rouge, LA 70814-6335
Fax (225) 262-5822
Mailing address
15273A Milldale Rd
Zachary, LA 70791-8013
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 5379 (LA) |
Professional Counselor: Definition to come...
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About NPI 1902250962
Ryan Dale Phillips, LPC's National Provider Identifier is 1902250962, issued on Apr 15, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baton Rouge, LA. The record was last updated on Apr 15, 2016.