Individual provider · Type 1 NPI

Lydia Shantera Wedderburn

Addiction (Substance Use Disorder) Counselor · Cantonment, FL

NPI number 1982191680 Active

Practice location

2420 S Highway 29
Cantonment, FL 32533-5808

Specialties and licenses

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

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

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About NPI 1982191680

Lydia Shantera Wedderburn's National Provider Identifier is 1982191680, issued on Apr 18, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Cantonment, FL. The record was last updated on Apr 18, 2018.