| NPI | 1063871291 |
|---|---|
| Professional Name | PHILLIP TARDANICO |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CA LCSW69611) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: CA A01210315) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2024-06-04 |