Individual
BILLY TRI PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COUNSELOR
Contact information
Practice address
7225 E SOUTHGATE DR STE D, SACRAMENTO, CA 95823-2651
(916) 394-1000
(916) 394-1010
Mailing address
7912 SYMINGTON WAY, SACRAMENTO, CA 95829-1470
(916) 690-1177
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1267760917
CA
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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