Organization · Type 2 NPI
Wisemind Sober Living and Treatment, LLC
Addiction (Substance Use Disorder) Counselor · Glendale, AZ
NPI number
1609483825
Active
Practice location
6234 W Behrend Dr Apt 3105
Glendale, AZ 85308-6919
Mailing address
5755 W Irma Ln
Glendale, AZ 85308-9178
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
| Mental Health Counselor | 101YM0800X | None listed |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1609483825
Wisemind Sober Living and Treatment, LLC's National Provider Identifier is 1609483825, issued on Sep 30, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Glendale, AZ. The record was last updated on Nov 10, 2020.