Mr. Phillip Shack Utumapu, RAS
Mr. Phillip Shack Utumapu, RAS is an Addiction (Substance Use Disorder) Counselor in Yucaipa, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2013
- Specialties on file
- 2
Practice location Address checks out
13626 Holmes St Apt 16Yucaipa, CA 92399-5567
Phone: (760) 619-0663
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X (CA) |
|---|---|
| Mental Health Counselor | Taxonomy 101YM0800X (CA) |
Record details
| NPI number | 1962834721 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | RAS |
| Sole proprietor | Yes |
| NPI enumerated | August 5, 2013 |
| Last updated in NPPES | August 5, 2013 |
| Mailing address | 13626 Holmes St Apt 16, Yucaipa, CA 92399-5567 |
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