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Phillip Krulisky, RADT
Addiction (Substance Use Disorder) Counselor in Grass Valley, California
NPI 1073214532

Phillip Krulisky is an Addiction (Substance Use Disorder) Counselor based in Auburn, CA and is specialized in Addiction (Substance Use Disorder). Phillip Krulisky practices in Grass Valley, CA and has the professional credentials of RADT. The NPI Number for Phillip Krulisky is 1073214532 and holds a License No. R1500000323 (California).

The current practice location address for Phillip Krulisky is 159 Brentwood Dr, Grass Valley, CA and can be reached out via phone at 530-878-5166.

Location: 159 Brentwood Dr, Grass Valley, CA, 95604-6021
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073214532
Provider Name
Phillip Krulisky
Credential
RADT
Provider Entity Type
Individual
Gender
Male
Address
159 Brentwood Dr, Grass Valley, CA, 95604-6021
Phone Number
530-878-5166
Fax Number
Provider Enumeration Date
03/13/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
159 Brentwood Dr
City
Grass Valley
State
California
Zip
95945-5703
Phone Number
530-878-5166
Fax Number
person
Provider Business Mailing Address Details
Address
159 Brentwood Dr
City
Grass Valley
State
California
Zip
95945-5703
Phone Number
530-878-5166
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
R1500000323 (California)
Definition
Definition to come...
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