Individual provider · Type 1 NPI

Gary Douglas Leatherman

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1336690742 Active

Practice location

9738 Lincoln Village Dr
Sacramento, CA 95827-3378

Call (916) 714-5400 Map

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 1336690742

Gary Douglas Leatherman's National Provider Identifier is 1336690742, issued on Oct 20, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Oct 20, 2016.