Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kevin A Phillips, SUDRC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1104532340

Kevin A Phillips, SUDRC is an Addiction (Substance Use Disorder) Counselor in Fairfield, California. Works from 2 locations. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

1225 Travis Blvd Ste H
Fairfield, CA 94533-4839
Phone: (707) 399-9190
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1525 Union Ave, Fairfield, CA 94533-5049 — (916) 759-3023

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1104532340
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDRC
Sole proprietorNo
NPI enumeratedJanuary 30, 2023
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023
Mailing address609 Jefferson St, Fairfield, CA 94533-6293

Other providers in Fairfield