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Justin Wortman
Professional Counselor in Yucca Valley, California
NPI 1316377732

Justin Wortman is a Professional Counselor based in Yucca Valley, CA and is specialized in Professional. Justin Wortman practices in Yucca Valley, CA. The NPI Number for Justin Wortman is 1316377732 and holds a License No. PCCI1586 (California).

The current practice location address for Justin Wortman is 58945 Business Center Dr, Yucca Valley, CA and can be reached out via phone at 760-228-9657.

Location: 58945 Business Center Dr, Yucca Valley, CA, 92284-1945
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316377732
Provider Name
Justin Wortman
Credential
Provider Entity Type
Individual
Gender
Male
Address
58945 Business Center Dr, Yucca Valley, CA, 92284-1945
Phone Number
760-228-9657
Fax Number
Provider Enumeration Date
11/21/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
58945 Business Center Dr
City
Yucca Valley
State
California
Zip
92284-7307
Phone Number
760-228-9657
Fax Number
person
Provider Business Mailing Address Details
Address
58945 Business Center Dr
City
Yucca Valley
State
California
Zip
92284-7307
Phone Number
760-228-9657
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
PCCI1586 (California)
Definition
Definition to come...
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