Individual provider · Type 1 NPI

Kevin A. Phillips, SUDRC

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1104532340 Active

Practice location

1225 Travis Blvd Ste H
Fairfield, CA 94533-4839

Call (707) 399-9190 Map

Mailing address

609 Jefferson St
Fairfield, CA 94533-6293

Other practice locations

  • 1525 Union Ave, Fairfield, CA 94533-5049 · (916) 759-3023

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1104532340

Kevin A. Phillips, SUDRC's National Provider Identifier is 1104532340, issued on Jan 30, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Jan 30, 2023.