KEVIN A PHILLIPS

FAIRFIELD, CA
NPI1104532340
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-01-30
Last Update Date2023-01-30
Business Address
KEVIN A PHILLIPS SUDRC
1225 TRAVIS BLVD STE H
FAIRFIELD, CA 94533-4839
Phone number: 707-399-9190
Mailing Address
KEVIN A PHILLIPS SUDRC
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190
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