Individual provider · Type 1 NPI
James Ryan Gorman, SAC
Addiction (Substance Use Disorder) Counselor · South Milwaukee, WI
NPI number
1467085613
Active
Practice location
1333 College Ave
South Milwaukee, WI 53172-1150
Fax (414) 301-9328
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 19103 (WI) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 16552 (WI) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1467085613
James Ryan Gorman, SAC's National Provider Identifier is 1467085613, issued on Feb 17, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in South Milwaukee, WI. The record was last updated on Apr 1, 2022.