Jason Dean Phillips, SUDCC-II 6264 Valid NPI
Individual provider · Addiction (Substance Use Disorder) Counselor · Needles, CA
- NPI
- 1992177299
- Type
- Individual (Type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YA0400X
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2015-10-26
- Last updated
- 2025-02-19
Practice location
1600 Bailey Ave
Needles, CA 92363-3105
(760) 326-9321