WEDNESDAY HASELWOOD CATC-R
NPI 1407382336
Counselor - Addiction (Substance Use Disorder) in San Pedro, CA
Active since May 11, 2017
About Wednesday Haselwood Catc-r NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WEDNESDAY HASELWOOD CATC-R (NPI 1407382336) is an individual addiction (substance use disorder) provider in San Pedro, California, licensed in California (R#9228) and active in the NPI registry since May 2017.
NPPES Registry Identity
NPI1407382336
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameWEDNESDAY HASELWOODCredential: CATC-R
Location Address270 W 14TH STSan Pedro, CA 90731-4315
Mailing Address270 W 14th StSan Pedro, CA 90731-4315 · (310) 519-8723 · Fax (310) 519-9428
Phone(310) 519-8723
Fax(310) 519-9428
Sole ProprietorYes
Enumeration DateMay 11, 2017
✔ NPI 1407382336 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in CA · R#9228
270 W 14TH ST, San Pedro, CA 90731
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
270 W 14TH ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
270 W 14TH ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
270 W 14TH ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
270 W 14TH ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
270 W 14TH ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
270 W 14TH ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Counselor (Addiction (Substance Use Disorder))
270 W 14TH ST
SAN PEDRO, CA 90731
SAN PEDRO, CA 90731
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407382336, enumerated as an "individual" on May 11, 2017.
The provider is located at 270 W 14TH ST SAN PEDRO, CA 90731 and the phone number is (310) 519-8723.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).