Individual
MS. AIDA LETICIA WILHELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1018 21ST ST, BAKERSFIELD, CA 93301-4709
(661) 861-9967
(661) 861-0339
Mailing address
1018 21ST ST, BAKERSFIELD, CA 93301-4709
(661) 861-9967
(661) 861-0339
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8808
CA
101YA0400X
Addiction (Substance Use Disorder) Counselor
IMF73529
CA
106H00000X
Marriage & Family Therapist
IMF73529
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8808
CADTP
CA
Enumeration date
04/19/2012
Last updated
12/12/2018
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