Individual provider · Type 1 NPI
Grace Wiseman
Addiction (Substance Use Disorder) Counselor · Dillon, CO
NPI number
1902765613
Active
Practice location
114 Village Pl # 203
Dillon, CO 80435-6034
Mailing address
302 Idlewild Dr
Dillon, CO 80435-8334
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
Other addiction (substance use disorder) counselor providers in Dillon
About NPI 1902765613
Grace Wiseman's National Provider Identifier is 1902765613, issued on Jan 19, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Dillon, CO. The record was last updated on Jan 19, 2026.