Individual provider · Type 1 NPI

Katherine Leigh McCormick

Addiction (Substance Use Disorder) Counselor · Placerville, CA

NPI number 1457634164 Active

Practice location

2844 Coloma St
Placerville, CA 95667-4406

Call (530) 642-1715 Map

Fax (530) 642-2064

Mailing address

PO Box 1666
Placerville, CA 95667-1666

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XM1202231250 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1457634164

Katherine Leigh McCormick's National Provider Identifier is 1457634164, issued on Sep 20, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Placerville, CA. The record was last updated on Feb 19, 2014.