Individual provider · Type 1 NPI
Phyliss Kilpatrick, LMSW-IPR, LCDC
Addiction (Substance Use Disorder) Counselor · Fort Sam Houston, TX
NPI number
1760892087
Active
Practice location
3851 Roger Brooke Dr
Fort Sam Houston, TX 78234-4501
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 12493 (TX) |
| Social Worker | 104100000X | 36094 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1760892087
Phyliss Kilpatrick, LMSW-IPR, LCDC's National Provider Identifier is 1760892087, issued on May 8, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Sam Houston, TX. The record was last updated on May 8, 2014.