Individual provider · Type 1 NPI

Jasmine R. Phillips, CDCA, OCPSA, QMHS

Addiction (Substance Use Disorder) Counselor · Boardman, OH

NPI number 1396421020 Active

Practice location

8255 South Ave
Boardman, OH 44512-6483

Mailing address

527 N Meridian Rd
Youngstown, OH 44509-1227

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker 172V00000XNone listed
Prevention Professional 405300000XOCPSA.162245 (OH)
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.193349 (OH)

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

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About NPI 1396421020

Jasmine R. Phillips, CDCA, OCPSA, QMHS's National Provider Identifier is 1396421020, issued on Jun 27, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Boardman, OH. The record was last updated on Aug 7, 2025.