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MR. GARY JOSEPH BETTENCOURT SUDCC
NPI 1689456717
Counselor - Addiction (Substance Use Disorder) in Modesto, CA

Active since October 13, 2023
1101 SYLVAN AVE STE C103, MODESTO, CA 95350(209) 758-7477 Get Directions Write a Review

NPPES record last updated: October 13, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 18, 2023, Oct 13, 2023 (2 updates tracked since 2023).

About Mr. Gary Joseph Bettencourt Sudcc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. GARY JOSEPH BETTENCOURT SUDCC (NPI 1689456717) is an individual addiction (substance use disorder) provider in Modesto, California, licensed in California (9127) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1689456717
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameMR. GARY JOSEPH BETTENCOURTCredential: SUDCC
Location Address1101 SYLVAN AVE STE C103Modesto, CA 95350-1687
Mailing Address1101 Sylvan Ave Ste C103Modesto, CA 95350-1687 · (209) 758-7477
Phone(209) 758-7477
Sole ProprietorYes
Enumeration DateOctober 13, 2023
Last NPPES UpdateOctober 13, 20232 updates tracked since enumeration
NPPES CertifiedOctober 13, 2023
✔ NPI 1689456717 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · 9127
1101 SYLVAN AVE STE C103, Modesto, CA 95350
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROOTS OF ADDICTION COUNSELING CENTER LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
1101 SYLVAN AVE STE C103
MODESTO, CA 95350
Stanislaus County (209) 578-7477
DAVID RAESE SUDRC#15389
Counselor (Addiction (Substance Use Disorder))
1101 SYLVAN AVE STE C103
MODESTO, CA 95350
Stanislaus County (209) 758-7477

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gary Bettencourt's NPI number?

The NPI number for Gary Bettencourt is 1689456717. It was assigned to this individual provider in the NPPES registry on October 13, 2023.

Where is Gary Bettencourt located?

Gary Bettencourt practices at 1101 Sylvan Ave Ste C103, Modesto, CA 95350. The listed phone number is (209) 758-7477.

What is Gary Bettencourt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Gary Bettencourt was last updated on October 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.