Provider Demographics
NPI:1003957887
Name:MAJOURAU, GARY T (RADI)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:T
Last Name:MAJOURAU
Suffix:
Gender:M
Credentials:RADI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 46TH AVE
Mailing Address - Street 2:APT. # A
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2422
Mailing Address - Country:US
Mailing Address - Phone:415-221-1599
Mailing Address - Fax:415-746-1941
Practice Address - Street 1:1735 MISSION STREET
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94103
Practice Address - Country:US
Practice Address - Phone:415-746-1940
Practice Address - Fax:415-746-1941
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-12
Last Update Date:2008-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)