Individual provider · Type 1 NPI

Gary Corker, RAD-T

Addiction (Substance Use Disorder) Counselor · Fairfield, CA

NPI number 1508572843 Active

Practice location

1525 Union Ave
Fairfield, CA 94533-5049

Call (707) 435-1804 Map

Mailing address

609 Jefferson St
Fairfield, CA 94533-6293

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 1508572843

Gary Corker, RAD-T's National Provider Identifier is 1508572843, issued on Jan 30, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CA. The record was last updated on Jan 30, 2023.