TIM JACK WILKINS CAADAC NPI 1437314416

NPI Information

Tim Jack Wilkins, CAADAC is an addiction (substance use disorder) counselor in Santa Cruz, CA. Tim Jack Wilkins, CAADAC NPI is 1437314416. 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:

707 FAIR AVE
SANTA CRUZ, CA
ZIP 95060-828
Phone: (831) 427-1007

The NPI 1437314416 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 7/18/2008 and was last updated on 1/3/2022.

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:

Other Identifiers

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

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