Individual provider · Type 1 NPI

Bryan D. Wildman, MA

Addiction (Substance Use Disorder) Counselor · Sparks, NV

NPI number 1366088502 Active

Practice location

1755 Sullivan Ln
Sparks, NV 89431-2815

Fax (775) 544-4259

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 1366088502

Bryan D. Wildman, MA's National Provider Identifier is 1366088502, issued on Nov 22, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sparks, NV. The record was last updated on Nov 22, 2019.