Individual
MR. DENNIS R PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
811 MADISON ST, EVERETT, WA 98203-4543
(425) 212-4200
(425) 212-4201
Mailing address
PO BOX 2569, EVERETT, WA 98213-0569
(425) 212-4200
(425) 212-4201
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61023845
WA
Other
Enumeration date
10/20/2020
Last updated
10/28/2020
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