Provider Demographics
NPI:1710909601
Name:GORSKI, JEFFREY PAUL (LCSW, MFT)
Entity Type:Individual
Prefix:MR
First Name:JEFFREY
Middle Name:PAUL
Last Name:GORSKI
Suffix:
Gender:M
Credentials:LCSW, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46485 RIVER VIEW DR
Mailing Address - Street 2:
Mailing Address - City:OAKHURST
Mailing Address - State:CA
Mailing Address - Zip Code:93644-9028
Mailing Address - Country:US
Mailing Address - Phone:559-683-5189
Mailing Address - Fax:559-683-5189
Practice Address - Street 1:46485 RIVER VIEW DR
Practice Address - Street 2:
Practice Address - City:OAKHURST
Practice Address - State:CA
Practice Address - Zip Code:93644-9028
Practice Address - Country:US
Practice Address - Phone:559-683-5189
Practice Address - Fax:559-683-5189
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-23
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 68761041C0700X
CAMFC 14649106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist