Individual provider · Type 1 NPI

Wyatt Reese

Addiction (Substance Use Disorder) Counselor · Hesperia, CA

NPI number 1073095188 Active

Practice location

11776 Mariposa Rd Ste 101
Hesperia, CA 92345-1622

Call (760) 956-2462 Map

Mailing address

12985 Altadena St
Hesperia, CA 92344-3805

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1073095188

Wyatt Reese's National Provider Identifier is 1073095188, issued on Sep 5, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hesperia, CA. The record was last updated on Sep 5, 2018.