person
Mr. Phillip Shack Utumapu, RAS
Mental Health Counselor in Yucaipa, California
NPI 1962834721

Phillip Shack Utumapu is a Mental Health Counselor based in Yucaipa, CA and is specialized in Mental Health. Phillip Shack Utumapu practices in Yucaipa, CA and has the professional credentials of RAS. The NPI Number for Phillip Shack Utumapu is 1962834721 and holds a License No. (California).

The current practice location address for Phillip Shack Utumapu is 13626 Holmes St Apt 16, Yucaipa, CA and can be reached out via phone at 760-619-0663.

Location: 13626 Holmes St Apt 16, Yucaipa, CA, 92399-5567
person
Provider Profile Details
NPI Number
1962834721
Provider Name
Phillip Shack Utumapu
Credential
RAS
Provider Entity Type
Individual
Gender
Male
Address
13626 Holmes St Apt 16, Yucaipa, CA, 92399-5567
Phone Number
760-619-0663
Fax Number
Provider Enumeration Date
08/05/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13626 Holmes St Apt 16
City
State
Zip
92399-5567
Phone Number
760-619-0663
Fax Number
person
Provider Business Mailing Address Details
Address
13626 Holmes St Apt 16
City
State
Zip
92399-5567
Phone Number
760-619-0663
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
(California)
Definition
Definition to come...
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