Individual
KATHERINE ELLEN WISHNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
550 W WASHINGTON AVE, ESCONDIDO, CA 92025-1643
(760) 270-0700
Mailing address
550 W WASHINGTON AVE, ESCONDIDO, CA 92025-1643
(760) 270-0700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22142
CA
175T00000X
Peer Specialist
Primary
MPSS-PQLRVZ
CA
Other
Enumeration date
07/02/2024
Last updated
09/18/2025
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