Individual
MR. MICHAEL LEE MCCORMICK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
49713 GORMAN POST RD, GORMAN, CA 93243-9701
(661) 724-0001
Mailing address
49713 GORMAN POST RD, GORMAN, CA 93243-9701
(661) 724-0001
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
175T00000X
Peer Specialist
Primary
MPSS-BNVPAR
CA
Other
Enumeration date
12/13/2022
Last updated
04/26/2026
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