Individual provider · Type 1 NPI

Gary Quan

Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA

NPI number 1376722280 Active

Practice location

707 Fair Ave
Santa Cruz, CA 95060-5828

Call (831) 427-1007 Map

Mailing address

411 Northlake Dr Apt 5
San Jose, CA 95117-1381

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 1376722280

Gary Quan's National Provider Identifier is 1376722280, issued on Oct 26, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Oct 26, 2007.