Individual provider · Type 1 NPI

Shawna Phillips, SAC

Addiction (Substance Use Disorder) Counselor · Modesto, CA

NPI number 1457020901 Active

Practice location

823 E Orangeburg Ave
Modesto, CA 95350-4619

Fax (209) 527-9825

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11702 (CA)

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

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About NPI 1457020901

Shawna Phillips, SAC's National Provider Identifier is 1457020901, issued on Sep 8, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Sep 8, 2021.