Individual provider · Type 1 NPI

Kimberly Wise, CATC

Addiction (Substance Use Disorder) Counselor · Hayward, CA

NPI number 1285180679 Active

Practice location

682 Briergate Way
Hayward, CA 94544-7245

Mailing address

4227 Bay St Apt 328
Fremont, CA 94538-4243

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1684731 (CA)

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

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About NPI 1285180679

Kimberly Wise, CATC's National Provider Identifier is 1285180679, issued on Aug 26, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hayward, CA. The record was last updated on Aug 26, 2016.