Individual provider · Type 1 NPI

Laura Gort

Addiction (Substance Use Disorder) Counselor · Atwater, CA

NPI number 1124310883 Active

Practice location

508 Mendocino Ct
Atwater, CA 95301-4230

Call (209) 357-5261 Map

Mailing address

559 Mendocino Ct
Atwater, CA 95301-4230

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1124310883

Laura Gort's National Provider Identifier is 1124310883, issued on May 12, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Atwater, CA. The record was last updated on May 12, 2011.