Individual
MADISON PARIS WIMBISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPSW, CCSS, LSAA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CTB-2026-0011
NM
172V00000X
Community Health Worker
07262024
NM
175T00000X
Peer Specialist
Primary
1750
NM
Other
Enumeration date
07/05/2024
Last updated
06/08/2026
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