DUSTIN JOHN WEDEKIND NPI 1932719028

NPI Information

  • NPI: 1932719028
  • Provider Name: DUSTIN JOHN WEDEKIND
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 1021 FREMONT AVE
    SOUTH LAKE TAHOE, CA
    ZIP 96150
  • Phone: (530) 541-2445

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NPI Details

Dustin John Wedekind is an addiction (substance use disorder) counselor in South Lake Tahoe, CA. Dustin John Wedekind NPI is 1932719028. 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:

1021 FREMONT AVE
SOUTH LAKE TAHOE, CA
ZIP 96150-136
Phone: (530) 541-2445

The enumeration date for this NPI number is 8/4/2020 and was last updated on 8/4/2020.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)CALIFORNIAYes

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: 11/21/2025

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