Individual
SUSAN MARIE WOLBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
40925 COUNTY CENTER DR, TEMECULA, CA 92591-6054
(951) 600-6410
Mailing address
40925 COUNTY CENTER DR, TEMECULA, CA 92591-6054
(951) 600-6410
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1297330318
CA
172V00000X
Community Health Worker
VQGWOSLHPKFEIYNZ
CA
175T00000X
Peer Specialist
Primary
VQGWOSLHPKFEIYNZ
CA
175T00000X
Peer Specialist
—
CA
Other
Enumeration date
06/16/2021
Last updated
01/11/2024
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