Individual provider · Type 1 NPI

Crystal Ann Phillips, SUDRC-1

Multi-Specialty Clinic/Center · El Cajon, CA

NPI number 1013876606 Active

Practice location

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

Specialties and licenses

TaxonomyCodeLicense
Multi-Specialty Clinic/Center Primary 261QM1300X23113 (CA)
Addiction (Substance Use Disorder) Counselor 101YA0400XSUDRCI23113 (CA)

Multi-Specialty Clinic/Center: Definition to come...

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About NPI 1013876606

Crystal Ann Phillips, SUDRC-1's National Provider Identifier is 1013876606, issued on Jan 19, 2026. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in El Cajon, CA. The record was last updated on Jun 15, 2026.