Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BENJAMIN LEE WYLDES, CADC
ActiveBENJAMIN LEE WYLDES, CADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in OTTUMWA, Iowa. NPI 1134641954 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · OTTUMWA, IA
Registration Details
- NPI Number
- 1134641954
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 13, 2017 (9.0614503303779 yrs)
- Last Updated
- Jul 13, 2017
Practice Information
- Address
-
310 W. MAIN STOTTUMWA, IA, 52501Browse IA providers · Browse ZIP 52501
- Phone
- 6416836747
- Fax
- 6416836317
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in OTTUMWA, IA
| Name | Credential | NPI |
|---|---|---|
| LYNETTE SUE HEATON | — | 1205363983 |
| MRS. LORI LEE GRIM | CADC | 1013444793 |
| MRS. MISTY DAWN GILLETTE | BA, CADC | 1952838666 |
| MRS. TIARA ANNETTE PEREZ | C.A.D.C. | 1164959854 |
| MARK GILLMAN | BA, CADC | 1093242778 |
| SETH BELL | CADC | 1700382082 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.