Individual
ANTHONY PAUL WINGFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
INDIVIDUAL
Contact information
Practice address
300 HILBORN ST, LODI, CA 95240-4140
(209) 513-2319
Mailing address
300 HILBORN ST, LODI, CA 95240-4140
(209) 513-2319
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12284
CA
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
INDIVIDUAL
CA
Other
Enumeration date
10/06/2021
Last updated
02/06/2026
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