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Individual

JOSEPH GENE PHILLIPS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
SUDP

Contact information

Practice address
1200 WESTLAKE AVE N STE 508, SEATTLE, WA 98109-3528
(206) 402-4115
Mailing address
7341 15TH AVE NW APT 11, SEATTLE, WA 98117-5407

Taxonomy

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

Other

Enumeration date
11/04/2019
Last updated
11/04/2019
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