Kyle James Phillip

NPI #1730846486 in Lagrange, Indiana

Provider Information

NPI Number
1730846486
Entity Type
Individual
Name
Kyle James Phillip
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Nov 17, 2021
Last Updated
Nov 17, 2021

Practice Location

Address
836 N DETROIT ST
State
Indiana
ZIP Code
46761-1112
Phone
(260) 499-3019

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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