Individual provider · Type 1 NPI
Phillip Carson, CDPT
Addiction (Substance Use Disorder) Counselor · Vancouver, WA
NPI number
1730630724
Active
Practice location
3507 NE 127th Ave
Vancouver, WA 98682-7657
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CO60638054 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1730630724
Phillip Carson, CDPT's National Provider Identifier is 1730630724, issued on Oct 14, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Aug 12, 2020.