Individual
PHILIP JOHN CHIFULIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
425 N FREDONIA ST, LONGVIEW, TX 75601-6464
(903) 758-2610
(903) 758-7081
Mailing address
1107 E MARSHALL AVE, LONGVIEW, TX 75601-5602
(903) 758-2610
(903) 758-7081
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
14477
TX
Other
Enumeration date
02/02/2022
Last updated
02/06/2024
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