Individual provider · Type 1 NPI

Gary Gordon Nimtz

Addiction (Substance Use Disorder) Counselor · El Cajon, CA

NPI number 1477078194 Active

Practice location

1400 N Johnson Ave Ste 101
El Cajon, CA 92020-1651

Fax (619) 442-1101

Mailing address

4575 Revillo Way
San Diego, CA 92115-4143

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 1477078194

Gary Gordon Nimtz's National Provider Identifier is 1477078194, issued on Aug 3, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in El Cajon, CA. The record was last updated on Aug 3, 2017.