Individual
CHARDE MARIE WYDERMYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
180 E LELAND RD STE A&B, PITTSBURG, CA 94565-4949
(925) 427-9100
(925) 427-9102
Mailing address
2523 WITHROW LN, FAIRFIELD, CA 94533-6579
(510) 860-6470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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