Individual provider · Type 1 NPI

Jason Dean Phillips, SUDCC-II 6264

Addiction (Substance Use Disorder) Counselor · Needles, CA

NPI number 1992177299 Active

Practice location

1600 Bailey Ave
Needles, CA 92363-3105

Fax (760) 326-3154

Mailing address

300 H St
Needles, CA 92363-2928

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 1992177299

Jason Dean Phillips, SUDCC-II 6264's National Provider Identifier is 1992177299, issued on Oct 26, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Needles, CA. The record was last updated on Feb 19, 2025.