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John Gullickson

NPI 1649048901 · on the registry since 2023

Practice

Address
1333 Willow Pass Rd Ste 200
Concord, CA 94520
Phone
(925) 825-1793
Organisation at this address
Shelter, Inc.
California Sports Physical Therapy Centers Inc
Portia Bell Hume Behavioral Health And Training Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
119

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
390200000X
Licence states on file
NULL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-04-04
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California