Individual provider · Type 1 NPI
Lacey Wise, CADC-II
Addiction (Substance Use Disorder) Counselor · Roseville, CA
NPI number
1750831806
Active
Practice location
1133 Coloma Way
Roseville, CA 95661-4480
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | A057120520 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1750831806
Lacey Wise, CADC-II's National Provider Identifier is 1750831806, issued on Oct 12, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Roseville, CA. The record was last updated on Oct 20, 2026.