Individual provider · Type 1 NPI

Thomas Gorham

Mental Health Counselor · Berkeley, CA

NPI number 1780870626 Active

Practice location

1931 Center St
Berkeley, CA 94704-1105

Fax (510) 666-0987

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1780870626

Thomas Gorham's National Provider Identifier is 1780870626, issued on Sep 24, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Berkeley, CA. The record was last updated on Aug 28, 2008.