ALEX WISHARD

SANTA CRUZ, CA
NPI1760081632
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2020-10-22
Last Update Date2020-10-22
Business Address
ALEX WISHARD
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700
Mailing Address
ALEX WISHARD
380 ENCINAL ST STE 200
SANTA CRUZ, CA 95060-2178
Phone number: 831-469-1700