Individual provider · Type 1 NPI

Bryan Wilmoth, CATC-III

Addiction (Substance Use Disorder) Counselor · Indio, CA

NPI number 1063942142 Active

Practice location

44359 Palm St
Indio, CA 92201-3116

Call (760) 342-6616 Map

Mailing address

1633 S Via Salida
Palm Springs, CA 92264-8829

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X071604 (CA)

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

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About NPI 1063942142

Bryan Wilmoth, CATC-III's National Provider Identifier is 1063942142, issued on Jun 12, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Indio, CA. The record was last updated on Jun 12, 2017.