JONATHAN PHILLIPS

FAIRFIELD, CA
NPI1205549490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2023-01-03
Last Update Date2023-01-03
Business Address
JONATHAN PHILLIPS RAD-T
1525 UNION AVE
FAIRFIELD, CA 94533-5049
Phone number: 707-435-1804
Mailing Address
JONATHAN PHILLIPS RAD-T
609 JEFFERSON ST
FAIRFIELD, CA 94533-6293
Phone number: 707-399-9190
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