person
Athena Marie Wildman
Professional Counselor in Riverside, California
NPI 1245999291

Athena Marie Wildman is a Professional Counselor based in Riverside, CA and is specialized in Professional. Athena Marie Wildman practices in Riverside, CA. The NPI Number for Athena Marie Wildman is 1245999291 and holds a License No. (California).

The current practice location address for Athena Marie Wildman is 5870 Arlington Ave, Riverside, CA and can be reached out via phone at 951-683-6596.

Location: 5870 Arlington Ave, Riverside, CA, 92504-2037
person
Provider Profile Details
NPI Number
1245999291
Provider Name
Athena Marie Wildman
Credential
Provider Entity Type
Individual
Gender
Female
Address
5870 Arlington Ave, Riverside, CA, 92504-2037
Phone Number
951-683-6596
Fax Number
Provider Enumeration Date
12/16/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5870 Arlington Ave
City
State
Zip
92504-2037
Phone Number
951-683-6596
Fax Number
person
Provider Business Mailing Address Details
Address
5870 Arlington Ave
City
State
Zip
92504-2037
Phone Number
951-683-6596
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
13019 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
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