Individual provider · Type 1 NPI

Philip Vidal

Addiction (Substance Use Disorder) Counselor · Thornton, CO

NPI number 1124363429 Active

Practice location

8931 Huron St
Thornton, CO 80260-6806

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6248 (CO)

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

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About NPI 1124363429

Philip Vidal's National Provider Identifier is 1124363429, issued on Nov 28, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Thornton, CO. The record was last updated on Jul 21, 2022.