Individual provider · Type 1 NPI

Irma I. Phillips-Maxwell, CAP

Addiction (Substance Use Disorder) Counselor · Gainesville, FL

NPI number 1053410191 Active

Practice location

2002 NW 13th St, Suite 120
Gainesville, FL 32609-5414

Call (352) 376-1611 Map

Fax (352) 376-9482

Mailing address

PO Box 1145
Gainesville, FL 32602-1145

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCERTIFICATION #1979 (FL)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1053410191

Irma I. Phillips-Maxwell, CAP's National Provider Identifier is 1053410191, issued on Sep 22, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gainesville, FL. The record was last updated on Jul 8, 2007.