Individual provider · Type 1 NPI

Justin Wortman

Professional Counselor · Yucca Valley, CA

NPI number 1316377732 Active

Practice location

58945 Business Center Dr, #D
Yucca Valley, CA 92284-7307

Mailing address

3613 Sage Ave
Yucca Valley, CA 92284-1945

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPCCI1586 (CA)

Professional Counselor: Definition to come...

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About NPI 1316377732

Justin Wortman's National Provider Identifier is 1316377732, issued on Nov 21, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Yucca Valley, CA. The record was last updated on Jan 28, 2015.