Individual provider · Type 1 NPI

Melissa Wiseman

Addiction (Substance Use Disorder) Counselor · Los Angeles, CA

NPI number 1285307769 Active

Practice location

8831 Venice Blvd
Los Angeles, CA 90034-3223

Call (213) 400-9794 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 1285307769

Melissa Wiseman's National Provider Identifier is 1285307769, issued on Jul 29, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Los Angeles, CA. The record was last updated on Jul 29, 2021.