Individual provider · Type 1 NPI

Gary Allen Conover

Addiction (Substance Use Disorder) Counselor · Roseville, CA

NPI number 1649785346 Active

Practice location

1133 Coloma Way
Roseville, CA 95661-4480

Mailing address

2112 Ulrich Ct
Woodland, CA 95776-5379

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X3974-I (CA)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1649785346

Gary Allen Conover's National Provider Identifier is 1649785346, issued on Dec 5, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, CA. The record was last updated on Dec 5, 2017.