Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. PHILLIP SHACK UTUMAPU, RAS
Active Sole ProprietorMR. PHILLIP SHACK UTUMAPU, RAS is a Addiction (Substance Use Disorder) Counselor healthcare provider located in YUCAIPA, California. NPI 1962834721 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · YUCAIPA, CA
Registration Details
- NPI Number
- 1962834721
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 5, 2013 (12.839964320288 yrs)
- Last Updated
- Aug 5, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
13626 HOLMES ST APT 16YUCAIPA, CA, 923995567Browse CA providers · Browse ZIP 92399
- Phone
- 7606190663
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Mental Health Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in YUCAIPA, CA
| Name | Credential | NPI |
|---|---|---|
| PAMELA MARIE SOTO | — | 1720281389 |
| KIMBERLY ANN SWANK | — | 1528540630 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.