Individual provider · Type 1 NPI

Colton Ryan Fiske, RADT I

Addiction (Substance Use Disorder) Counselor · Grass Valley, CA

NPI number 1952106304 Active

Practice location

159 Brentwood Dr
Grass Valley, CA 95945-5703

Call (530) 273-9541 Map

Mailing address

406 Sunrise Ave Ste 105
Roseville, CA 95661-4145

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XR1498650223

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

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About NPI 1952106304

Colton Ryan Fiske, RADT I's National Provider Identifier is 1952106304, issued on Feb 18, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Grass Valley, CA. The record was last updated on Jun 25, 2025.