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Lanard Phillips SR.
Addiction (Substance Use Disorder) Counselor in La Mesa, California
NPI 1922381961

Lanard Phillips SR. is an Addiction (Substance Use Disorder) Counselor based in San Diego, CA and is specialized in Addiction (Substance Use Disorder). Lanard Phillips SR. practices in La Mesa, CA. The NPI Number for Lanard Phillips SR. is 1922381961 and holds a License No. (California).

The current practice location address for Lanard Phillips SR. is 4990 Williams Ave, La Mesa, CA and can be reached out via phone at 619-668-4203.

Location: 4990 Williams Ave, La Mesa, CA, 92123-1104
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1922381961
Provider Name
Lanard Phillips SR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
4990 Williams Ave, La Mesa, CA, 92123-1104
Phone Number
619-668-4203
Fax Number
Provider Enumeration Date
09/26/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4990 Williams Ave
City
La Mesa
State
California
Zip
91942-7409
Phone Number
619-668-4203
Fax Number
person
Provider Business Mailing Address Details
Address
4990 Williams Ave
City
La Mesa
State
California
Zip
91942-7409
Phone Number
619-668-4203
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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