Individual provider · Type 1 NPI

Bernice Wivagg

Addiction (Substance Use Disorder) Counselor · Richmond, CA

NPI number 1225761174 Active

Practice location

12960 San Pablo Ave
Richmond, CA 94805-1307

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 1225761174

Bernice Wivagg's National Provider Identifier is 1225761174, issued on Jul 7, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Richmond, CA. The record was last updated on Aug 24, 2022.