Individual
MR. DEANTHONY JAMAR PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPC
Contact information
Practice address
390 E CEDAR ST, SEQUIM, WA 98382-3403
(360) 681-8465
(360) 681-8463
Mailing address
390 E CEDAR ST, SEQUIM, WA 98382-3403
(360) 681-8465
(360) 681-8463
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CG61256678
WA
Other
Enumeration date
05/08/2023
Last updated
05/08/2023
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