Individual provider · Type 1 NPI

Rachelle Lynn Wiedeman, RASI

Addiction (Substance Use Disorder) Counselor · Indio, CA

NPI number 1194916221 Active

Practice location

83912 Avenue 45 Ste B
Indio, CA 92201-3338

Call (760) 262-8921 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRI-W0708021221 (CA)

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

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About NPI 1194916221

Rachelle Lynn Wiedeman, RASI's National Provider Identifier is 1194916221, issued on Aug 5, 2007. 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 Aug 5, 2007.