Individual
ANNA WIMSATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-CAS
Contact information
Practice address
1450 N LAKE AVE, 2ND FLOOR, PASADENA, CA 91104-2301
(626) 564-4240
Mailing address
1175 W FREDKIN DR, COVINA, CA 91722-3114
(626) 298-1389
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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