TERRY GORTON
NPI 1033661004
Counselor - Professional in Traverse City, MI
Active since October 26, 2016
About Terry Gorton NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TERRY GORTON (NPI 1033661004) is an individual professional provider in Traverse City, Michigan, licensed in Michigan (6401015595) and active in the NPI registry since October 2016.
NPPES Registry Identity
NPI1033661004
Entity TypeIndividualMale
Primary Taxonomy101YP2500X
Provider Legal NameTERRY GORTON
Location Address116 E 8TH STTraverse City, MI 49684-2524
Mailing Address415 Cass St, Suite 2a & 2dTraverse City, MI 49684-2589 · (231) 346-5216 · Fax (231) 943-2590
Phone(231) 346-5221
Fax(231) 922-2095
Sole ProprietorNo
Enumeration DateOctober 26, 2016
✔ NPI 1033661004 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in MI · 6401015595
116 E 8TH ST, Traverse City, MI 49684
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
116 E 8TH ST
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
Counselor (Addiction (Substance Use Disorder))
116 E 8TH ST
TRAVERSE CITY, MI 49684
TRAVERSE CITY, MI 49684
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033661004, enumerated as an "individual" on October 26, 2016.
The provider is located at 116 E 8TH ST TRAVERSE CITY, MI 49684 and the phone number is (231) 346-5221.
Counselor with taxonomy code 101YP2500X and a focus in Professional.
