Phoenix Ries, MS,LPC

NPI #1437201357 in Philomath, Oregon

Provider Information

NPI Number: 1437201357
Entity Type: Individual
Name: Phoenix Ries, MS,LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Credential: MS,LPC
Enumeration Date: Jan 18, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 1322 MAIN ST.
City: Philomath
State: Oregon
ZIP Code: 97370
Phone: (541) 929-5065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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