Individual provider · Type 1 NPI

Alex Wishard

Addiction (Substance Use Disorder) Counselor · Santa Cruz, CA

NPI number 1760081632 Active

Practice location

380 Encinal St Ste 200
Santa Cruz, CA 95060-2178

Fax (831) 425-1905

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1760081632

Alex Wishard's National Provider Identifier is 1760081632, issued on Oct 22, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Cruz, CA. The record was last updated on Oct 22, 2020.