LACEY WISE CADC-II NPI 1750831806

NPI Information

NPI: 1750831806
Provider Name: LACEY WISE, CADC-II
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1530 3RD ST STE 111
LINCOLN, CA
ZIP 95648
Phone: (916) 884-0015
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Lacey Wise, CADC-II is an addiction (substance use disorder) counselor in Lincoln, CA. Lacey Wise, CADC-II NPI is 1750831806. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1530 3RD ST STE 111
LINCOLN, CA
ZIP 95648-501
Phone: (916) 884-0015

The enumeration date for this NPI number is 10/12/2016 and was last updated on 6/30/2020.

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)	A057120520	CALIFORNIA	Yes

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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