Individual
ADIA WAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9412 BIG HORN BLVD STE 6, ELK GROVE, CA 95758-1101
(916) 967-6253
Mailing address
106 GOSS CT, SACRAMENTO, CA 95838-3806
(831) 210-2288
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
—
—
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/12/2018
Last updated
05/08/2025
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