Individual provider · Type 1 NPI

Phillip Krulisky, RADT

Addiction (Substance Use Disorder) Counselor · Grass Valley, CA

NPI number 1073214532 Active

Practice location

159 Brentwood Dr
Grass Valley, CA 95945-5703

Call (530) 878-5166 Map

Mailing address

PO Box 6021
Auburn, CA 95604-6021

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1500000323 (CA)

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

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About NPI 1073214532

Phillip Krulisky, RADT's National Provider Identifier is 1073214532, issued on Mar 13, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grass Valley, CA. The record was last updated on Mar 13, 2023.