Individual provider · Type 1 NPI
Carmen Maria Wyatt, CADAC
Addiction (Substance Use Disorder) Counselor · Lackland Afb, TX
NPI number
1053645796
Active
Practice location
2200 Berquist Drive, Suite 1
Lackland Afb, TX 78236
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 2042 (DC) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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Other addiction (substance use disorder) counselor providers in Lackland Afb
About NPI 1053645796
Carmen Maria Wyatt, CADAC's National Provider Identifier is 1053645796, issued on Sep 29, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lackland Afb, TX. The record was last updated on Sep 29, 2009.