Individual provider · Type 1 NPI

Andrew Wildasinn

Addiction (Substance Use Disorder) Counselor · Upland, CA

NPI number 1700418837 Active

Practice location

239 W 9th St
Upland, CA 91786-5979

Call (909) 981-6121 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XA018030315 (CA)

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

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About NPI 1700418837

Andrew Wildasinn's National Provider Identifier is 1700418837, issued on Feb 6, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Upland, CA. The record was last updated on Feb 6, 2020.