Individual provider · Type 1 NPI

Corey Raymond Waken

Addiction (Substance Use Disorder) Counselor · Napa, CA

NPI number 1083988018 Active

Practice location

2100 Napa Vallejo Hwy Bldg M1&M2
Napa, CA 94558-6234

Call (707) 257-1460 Map

Fax (707) 257-7524

Mailing address

2100 Napa Vallejo Hwy, P.o. Box 7026
Napa, CA 94558-6234

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 1083988018

Corey Raymond Waken's National Provider Identifier is 1083988018, issued on Mar 8, 2012. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Napa, CA. The record was last updated on Mar 8, 2012.