WADE TAYLOR CADC-CAS
NPI 1851774913
Counselor - Addiction (Substance Use Disorder) in Venice, CA
Active since July 07, 2015
About Wade Taylor Cadc-cas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WADE TAYLOR CADC-CAS (NPI 1851774913) is an individual addiction (substance use disorder) provider in Venice, California and active in the NPI registry since July 2015.
NPPES Registry Identity
NPI1851774913
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameWADE TAYLORCredential: CADC-CAS
Location Address717 LINCOLN BLVDVenice, CA 90291-2845
Mailing Address717 Lincoln BlvdVenice, CA 90291-2845 · (310) 399-9883 · Fax (310) 399-9678
Phone(310) 399-9883
Fax(310) 399-9678
Sole ProprietorYes
Enumeration DateJuly 7, 2015
✔ NPI 1851774913 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
717 LINCOLN BLVD, Venice, CA 90291
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1851774913, enumerated as an "individual" on July 07, 2015.
The provider is located at 717 LINCOLN BLVD VENICE, CA 90291 and the phone number is (310) 399-9883.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
