Individual provider · Type 1 NPI
Alex Wyse
Addiction (Substance Use Disorder) Counselor · Newark, CA
NPI number
1215320064
Active
Practice location
6330 Thornton Ave
Newark, CA 94560-3734
Fax (510) 745-1693
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1215320064
Alex Wyse's National Provider Identifier is 1215320064, issued on Mar 17, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Newark, CA. The record was last updated on Mar 17, 2015.