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NPI Code Detail

MEDICARE: WESLEY GOFF CATC II

MEDICARE:   WESLEY  GOFF  CATC II
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor2114197CA

General Provider Information

NPI Number : 1063963247
Entity Type Code : Individual
Provider Name (Legal Business Name) : WESLEY GOFF CATC II
Provider Business Mailing Address
First Line : 3990 INDUSTRIAL BLVD
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3430
Country : US
Telephone Number : 916-504-7082
Fax Number :
Provider Business Practice Location Address
First Line : 3990 INDUSTRIAL BLVD
Second Line :
City : WEST SACRAMENTO
State : CA
Zip : 95691-3430
Country : US
Telephone Number : 916-796-0020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/22/2016
Last Update Date : 11/15/2021

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Directions to “ WESLEY GOFF CATC II” Practice Location

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