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Individual

MICHAEL VERNON GAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
SUDRC

Contact information

Practice address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6150
Mailing address
1904 RICHLAND AVE, CERES, CA 95307-4562
(209) 525-7411

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
372600000X
Adult Companion
Primary
CA

Other

Enumeration date
12/04/2023
Last updated
02/05/2026
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