GARY JOSEPH BETTENCOURT

MODESTO, CA
NPI1689456717
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  9127)
Enumeration Date2023-10-13
Last Update Date2023-10-18
Business Address
Mr. GARY JOSEPH BETTENCOURT SUDCC
1101 SYLVAN AVE STE C103
MODESTO, CA 95350-1687
Phone number: 209-758-7477
Mailing Address
Mr. GARY JOSEPH BETTENCOURT SUDCC
1101 SYLVAN AVE STE C103
MODESTO, CA 95350-1687
Phone number: 209-758-7477
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