Individual provider · Type 1 NPI

Leeroy Wainwright

Addiction (Substance Use Disorder) Counselor · San Pablo, CA

NPI number 1154713766 Active

Practice location

1515 Market Ave
San Pablo, CA 94806-4357

Call (510) 232-7571 Map

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 1154713766

Leeroy Wainwright's National Provider Identifier is 1154713766, issued on Feb 19, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pablo, CA. The record was last updated on Feb 19, 2015.