Search › California › 101YA0400X
Gary Bettencourt, SUDCC
NPI 1689456717 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1101 Sylvan Ave Ste C103
Modesto, CA 95350 - Phone
- (209) 758-7477
- Organisation at this address
- Roots Of Addiction Counseling Center Llc
Sojourn Hospice & Palliative Care-Modesto, Llc.Inferred from a shared address, not stated in the registry. - Clinicians at this address
- 4
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-10-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California