Kenneth Wiseman, - Counselor in Lotus, CA

Kenneth Wiseman, is a Counselor - Addiction (substance Use Disorder) based in Lotus, California. Kenneth Wiseman is licensed to practice in California (license number R1420310221) and his current practice location is 838 Beach Court, Lotus, California. He can be reached at his office (for appointments etc.) via phone at (530) 626-7252.

NPI number for Kenneth Wiseman is 1053905752 and his current mailing address is 2844 Coloma St, Placerville, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053905752.

Contact Information

Kenneth Wiseman,
838 Beach Court,
Lotus, CA 95651
(530) 626-7252
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKenneth Wiseman
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location838 Beach Court, Lotus, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053905752
  • Provider Enumeration Date: 02/23/2021
  • Last Update Date: 02/23/2021

Medical Identifiers

Medical identifiers for Kenneth Wiseman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053905752NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) R1420310221 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kenneth Wiseman is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kenneth Wiseman,
2844 Coloma St,
Placerville, CA 95667-4406

Ph: (530) 626-9240
Kenneth Wiseman,
838 Beach Court,
Lotus, CA 95651

Ph: (530) 626-7252

Reviews and Comments


Counselor in Lotus, CA

Lucas Michael Mcroberts, RADT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 838 Beach Ct, Lotus, CA 95651
Phone: 530-626-7252    
Tom Allen Clark,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 838 Beach Court, Lotus, CA 95633
Phone: 530-626-7252    
Daniel Lawrence Gilliland, SUDCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 838 Beach Court, Lotus, CA 95633
Phone: 530-626-7252    
Anthony James Gonzalez, RADT1
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 838 Beach Ct, Lotus, CA 95651
Phone: 530-626-7383    
Daniel Alexander Brandon,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 838 Beach Ct, Lotus, CA 95651
Phone: 530-626-7252    
Brangwyn Ursula Foley,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 838 Beach Court, Lotus, CA 95651
Phone: 530-626-7252    

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