Individual provider · Type 1 NPI
Joseph Mark Gentile
Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA
NPI number
1669718136
Active
Practice location
271 Water St
Santa Cruz, CA 95060-4009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | G1110092043 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1669718136
Joseph Mark Gentile's National Provider Identifier is 1669718136, issued on Jan 2, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Jan 2, 2013.