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Mr. Phillip George Tardanico, LCSW69611
Addiction (Substance Use Disorder) Counselor in Victorville, California
NPI 1063871291

Phillip George Tardanico is an Addiction (Substance Use Disorder) Counselor based in Victorville, CA and is specialized in Addiction (Substance Use Disorder). Phillip George Tardanico practices in Victorville, CA and has the professional credentials of LCSW69611. The NPI Number for Phillip George Tardanico is 1063871291 and holds a License No. LCSW69611 (California).

The current practice location address for Phillip George Tardanico is 15000 Seventh St Ste 209, Victorville, CA and can be reached out via phone at 760-217-9527 and via fax at 442-267-5623.

Location: 15000 Seventh St Ste 209, Victorville, CA, 92395-3853
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063871291
Provider Name
Phillip George Tardanico
Credential
LCSW69611
Provider Entity Type
Individual
Gender
Male
Address
15000 Seventh St Ste 209, Victorville, CA, 92395-3853
Phone Number
760-217-9527
Fax Number
442-267-5623
Provider Enumeration Date
02/16/2016
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
800682649 05 CA
institution
Provider Business Practice Location Address Details
Address
15000 Seventh St Ste 209
City
Victorville
State
California
Zip
92395-3853
Phone Number
760-217-9527
Fax Number
442-267-5623
person
Provider Business Mailing Address Details
Address
15000 Seventh St Ste 209
City
Victorville
State
California
Zip
92395-3853
Phone Number
760-217-9527
Fax Number
442-267-5623
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
A01210315 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
LCSW69611 (California)
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
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