Individual provider · Type 1 NPI

Tracy Phillips

Addiction (Substance Use Disorder) Counselor · Antioch, CA

NPI number 1689873754 Active

Practice location

3707 Sunset Lane
Antioch, CA 94509

Call (925) 552-0124 Map

Mailing address

3707 Sunset Ln
Antioch, CA 94509-6101

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 1689873754

Tracy Phillips's National Provider Identifier is 1689873754, issued on Jul 17, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Antioch, CA. The record was last updated on Jul 17, 2007.