Jason Dean Phillips, SUDCC-II 6264
NPI #1992177299 in Needles, California
Provider Information
- NPI Number
- 1992177299
- Entity Type
- Individual
- Name
- Jason Dean Phillips, SUDCC-II 6264
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDCC-II 6264
- Enumeration Date
- Oct 26, 2015
- Last Updated
- Feb 19, 2025
Practice Location
- Address
- 1600 BAILEY AVE
- City
- Needles
- State
- California
- ZIP Code
- 92363-3105
- Phone
- (760) 326-9321
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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