Individual provider · Type 1 NPI

Philip John Chifulio, LCDC

Addiction (Substance Use Disorder) Counselor · Longview, TX

NPI number 1376296939 Active

Practice location

425 N Fredonia St
Longview, TX 75601-6464

Call (903) 758-2610 Map

Fax (903) 758-7081

Mailing address

1107 E Marshall Ave
Longview, TX 75601-5602

Other practice locations

  • 1107 E Marshall Ave, Longview, TX 75601-5602 · (903) 758-2610

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14477 (TX)

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

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About NPI 1376296939

Philip John Chifulio, LCDC's National Provider Identifier is 1376296939, issued on Feb 2, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longview, TX. The record was last updated on Feb 6, 2024.