Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Gary Joseph Bettencourt, SUDCC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1689456717

Mr. Gary Joseph Bettencourt, SUDCC is an Addiction (Substance Use Disorder) Counselor in Modesto, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1101 Sylvan Ave Ste C103
Modesto, CA 95350-1687
Phone: (209) 758-7477
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 9127 (CA)

Record details

NPI number1689456717
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDCC
Sole proprietorYes
NPI enumeratedOctober 13, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

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