Individual provider · Type 1 NPI

Colman R. Wardley, RADT-I

Addiction (Substance Use Disorder) Counselor · Placerville, CA

NPI number 1609583434 Active

Practice location

2844 Coloma St
Placerville, CA 95667-4406

Fax (530) 642-2064

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1486331022 (CA)

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

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About NPI 1609583434

Colman R. Wardley, RADT-I's National Provider Identifier is 1609583434, issued on Nov 1, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Placerville, CA. The record was last updated on Nov 1, 2022.