THOMAS QUIRK GORTON

UKIAH, CA
NPI1114257698
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RI60912231305)
Enumeration Date2010-01-06
Last Update Date2010-01-06
Business Address
-- THOMAS QUIRK GORTON
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2600
Mailing Address
-- THOMAS QUIRK GORTON
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2600
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