MR. JOSH WYATT NELSON CADC-II NPI 1861937120

NPI Information

NPI: 1861937120
Provider Name: MR. JOSH WYATT NELSON, CADC-II
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
6500 MORRO RD STE D
ATASCADERO, CA
ZIP 93422
Phone: (805) 461-5212
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MR. Josh Wyatt Nelson, CADC-II is an addiction (substance use disorder) counselor in Atascadero, CA. MR. Josh Wyatt Nelson, CADC-II NPI is 1861937120. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6500 MORRO RD STE D
ATASCADERO, CA
ZIP 93422-142
Phone: (805) 461-5212
Fax: (805) 461-5873

The enumeration date for this NPI number is 12/22/2016 and was last updated on 5/23/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	A051180519	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	95-3302967	OTHER	CALIFORNIA	WE ARE AN ALCOHOL AND DRUG SERVICE THAT ACCEPTS MEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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