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
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | PCCI1586 (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.