person
Mr. Bryan D Wildman, MA
Addiction (Substance Use Disorder) Counselor in Sparks, Nevada
NPI 1366088502

Bryan D Wildman is an Addiction (Substance Use Disorder) Counselor based in Sparks, NV and is specialized in Addiction (Substance Use Disorder). Bryan D Wildman practices in Sparks, NV and has the professional credentials of MA. The NPI Number for Bryan D Wildman is 1366088502 and holds a License No. (Nevada).

The current practice location address for Bryan D Wildman is 1755 Sullivan Ln, Sparks, NV and can be reached out via phone at 775-499-5534 and via fax at 775-544-4259.

Location: 1755 Sullivan Ln, Sparks, NV, 89431-2815
person
Provider Profile Details
NPI Number
1366088502
Provider Name
Bryan D Wildman
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1755 Sullivan Ln, Sparks, NV, 89431-2815
Phone Number
775-499-5534
Fax Number
775-544-4259
Provider Enumeration Date
11/22/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1205389129 05 NV
institution
Provider Business Practice Location Address Details
Address
1755 Sullivan Ln
City
State
Zip
89431-2815
Phone Number
775-499-5534
Fax Number
775-544-4259
person
Provider Business Mailing Address Details
Address
1755 Sullivan Ln
City
State
Zip
89431-2815
Phone Number
775-499-5534
Fax Number
775-544-4259
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(Nevada)
Definition
Definition to come...
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