Individual provider · Type 1 NPI

Janet Wise

Addiction (Substance Use Disorder) Counselor · Culver City, CA

NPI number 1659777597 Active

Practice location

11133 Washington Blvd
Culver City, CA 90232-3918

Fax (310) 895-2353

Mailing address

4760 Sepulveda Blvd
Culver City, CA 90230-4820

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XRAS-W0706161054 (CA)

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

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About NPI 1659777597

Janet Wise's National Provider Identifier is 1659777597, issued on Nov 4, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Culver City, CA. The record was last updated on Jan 16, 2015.