Individual provider · Type 1 NPI

Kenneth Wiseman

Addiction (Substance Use Disorder) Counselor · Grass Valley, CA

NPI number 1053905752 Active

Practice location

159 Brentwood Dr
Grass Valley, CA 95945-5703

Call (530) 460-4083 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XB00003980425 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

64 other providers at this address

Other addiction (substance use disorder) counselor providers in Grass Valley

See all in Grass Valley →

About NPI 1053905752

Kenneth Wiseman's National Provider Identifier is 1053905752, issued on Feb 23, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grass Valley, CA. The record was last updated on May 7, 2025.