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James Earl Phillip
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1578142220

James Earl Phillip is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). James Earl Phillip practices in San Diego, CA. The NPI Number for James Earl Phillip is 1578142220 and holds a License No. (California).

The current practice location address for James Earl Phillip is 4104 Delta St, San Diego, CA and can be reached out via phone at 619-264-0141.

Location: 4104 Delta St, San Diego, CA, 92113-4113
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578142220
Provider Name
James Earl Phillip
Credential
Provider Entity Type
Individual
Gender
Male
Address
4104 Delta St, San Diego, CA, 92113-4113
Phone Number
619-264-0141
Fax Number
Provider Enumeration Date
04/07/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1013031541 05 CA
institution
Provider Business Practice Location Address Details
Address
4104 Delta St
City
San Diego
State
California
Zip
92113-4113
Phone Number
619-264-0141
Fax Number
person
Provider Business Mailing Address Details
Address
4104 Delta St
City
San Diego
State
California
Zip
92113-4113
Phone Number
619-264-0141
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.
()
Definition
Definition to come...
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