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MR. PHILLIP ANTHONY JORDINELLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CDCS, NCACI, SAP

Contact information

Practice address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-9823
(907) 486-9898
Mailing address
3449 E REZANOF DR, KODIAK, AK 99615-6952
(907) 486-7381
(907) 486-7398

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2279
AK

Other

Enumeration date
06/19/2013
Last updated
08/06/2020
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