Individual
JAMES DAVID PHELPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSS
Contact information
Practice address
3288 EL CAJON BLVD STE 13, SAN DIEGO, CA 92104-1430
(619) 521-5720
Mailing address
3288 EL CAJON BLVD STE 13, SAN DIEGO, CA 92104-1430
(619) 521-5720
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3704
—
CA
Enumeration date
10/14/2017
Last updated
06/24/2022
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