Daniel Lawrence Gilliland, SUDCC
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lotus, CA
NPI 1184486201 · NPPES record last updated Jan 24, 2024
Key facts
- NPI
- 1184486201
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- 10946 (CA)
- Practice address
- 838 Beach Court
Lotus, CA 95633 - Phone
- (530) 626-7252
- NPI assigned
- Jan 24, 2024
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 10946 | CA | Yes |
Addresses
Primary practice location
838 Beach Court
Lotus, CA 95633
Mailing address
PO Box 1666
Placerville, CA 95667-1666
Phone (530) 344-4544
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- Anthony James Gonzalez
- Karen Ruth Kelleher
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All providers in Lotus, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.