Provider Demographics
NPI:1508117235
Name:CUTHBERT, GEORGE RICHARD (CATC #071456)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:RICHARD
Last Name:CUTHBERT
Suffix:
Gender:M
Credentials:CATC #071456
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1777 ATLANTA AVE
Mailing Address - Street 2:SUITE G-1
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-0514
Mailing Address - Country:US
Mailing Address - Phone:951-778-3500
Mailing Address - Fax:
Practice Address - Street 1:1777 ATLANTA AVE
Practice Address - Street 2:SUITE G-1
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-0514
Practice Address - Country:US
Practice Address - Phone:951-778-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-20
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)