Individual provider · Type 1 NPI
Gary Joseph Bettencourt, SUDCC
Addiction (Substance Use Disorder) Counselor · Modesto, CA
NPI number
1689456717
Active
Practice location
1101 Sylvan Ave Ste C103
Modesto, CA 95350-1687
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 9127 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
2 other providers at this address
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About NPI 1689456717
Gary Joseph Bettencourt, SUDCC's National Provider Identifier is 1689456717, issued on Oct 13, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Modesto, CA. The record was last updated on Oct 18, 2023.