Individual provider · Type 1 NPI
Michael Vincent McCormick Ii, C.A.T.C. 11
Addiction (Substance Use Disorder) Counselor · San Mateo, CA
NPI number
1225295074
Active
Practice location
720 South B St, BLDG# M-1 M-2
San Mateo, CA 94401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CAADE # 051080 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1225295074
Michael Vincent McCormick Ii, C.A.T.C. 11's National Provider Identifier is 1225295074, issued on May 20, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Mateo, CA. The record was last updated on Nov 30, 2011.