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Phillip Wayne Radford
Addiction (Substance Use Disorder) Counselor in Lincoln, California
NPI 1730945619

Phillip Wayne Radford is an Addiction (Substance Use Disorder) Counselor based in Lincoln, CA and is specialized in Addiction (Substance Use Disorder). Phillip Wayne Radford practices in Lincoln, CA. The NPI Number for Phillip Wayne Radford is 1730945619 and holds a License No. R1549080224 (California).

The current practice location address for Phillip Wayne Radford is 1530 3Rd St Ste 111, Lincoln, CA and can be reached out via phone at 916-742-9312.

Location: 1530 3Rd St Ste 111, Lincoln, CA, 95648-2501
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730945619
Provider Name
Phillip Wayne Radford
Credential
Provider Entity Type
Individual
Gender
Male
Address
1530 3Rd St Ste 111, Lincoln, CA, 95648-2501
Phone Number
916-742-9312
Fax Number
Provider Enumeration Date
02/27/2024
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1530 3Rd St Ste 111
City
Lincoln
State
California
Zip
95648-2501
Phone Number
916-742-9312
Fax Number
person
Provider Business Mailing Address Details
Address
1530 3Rd St Ste 111
City
Lincoln
State
California
Zip
95648-2501
Phone Number
916-742-9312
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.
R1549080224 (California)
Definition
Definition to come...
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