Individual provider · Type 1 NPI

Gary John Dillahunty

Addiction (Substance Use Disorder) Counselor · Vallejo, CA

NPI number 1659564623 Active

Practice location

419 Pennsylvania St
Vallejo, CA 94590-6933

Mailing address

121 Yorkshire Ct, Apt.c
Vallejo, CA 94591-6767

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X101YA0400X (CA)

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

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About NPI 1659564623

Gary John Dillahunty's National Provider Identifier is 1659564623, issued on Aug 23, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vallejo, CA. The record was last updated on Aug 23, 2007.