Individual provider · Type 1 NPI

Matthew Wada

Addiction (Substance Use Disorder) Counselor · Pasadena, CA

NPI number 1114654506 Active

Practice location

1230 N Marengo Ave
Pasadena, CA 91103-2217

Call (626) 633-2593 Map

Specialties and licenses

TaxonomyCodeLicense
Technician 374700000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X15530-RAC (CA)

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

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About NPI 1114654506

Matthew Wada's National Provider Identifier is 1114654506, issued on Aug 4, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pasadena, CA. The record was last updated on Dec 18, 2024.