Individual provider · Type 1 NPI

Phylicia Lee Thibeault

Addiction (Substance Use Disorder) Counselor · Fall River, MA

NPI number 1710583620 Active

Practice location

22 Front St
Fall River, MA 02721-4302

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 1710583620

Phylicia Lee Thibeault's National Provider Identifier is 1710583620, issued on Dec 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fall River, MA. The record was last updated on Dec 7, 2020.