Individual provider · Type 1 NPI

Jaqueline L. Phillips

Addiction (Substance Use Disorder) Counselor · Brooklyn, NY

NPI number 1386809572 Active

Practice location

3619 Quentin Rd
Brooklyn, NY 11234-4203

Call (718) 998-7500 Map

Fax (718) 998-7955

Mailing address

PO Box 31094
Hartford, CT 06150-1094

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 1386809572

Jaqueline L. Phillips's National Provider Identifier is 1386809572, issued on Jul 28, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 28, 2008.