| Bryan Wilmoth, CATC-III | |
|
44359 Palm St, Indio, CA 92201-3116 | |
| (760) 342-6616 | |
| Not Available |
| Full Name | Bryan Wilmoth |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 44359 Palm St, Indio, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063942142 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 071604 (California) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Bryan Wilmoth, CATC-III 1633 S Via Salida, Palm Springs, CA 92264-8829 Ph: (323) 868-6147 | Bryan Wilmoth, CATC-III 44359 Palm St, Indio, CA 92201-3116 Ph: (760) 342-6616 |
Sherrell Clark, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8638 | |
Marivel Sanchez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8600 Fax: 760-863-8655 | |
Mr. Kevin G Brown Sr., Counselor Medicare: Not Enrolled in Medicare Practice Location: 81840 Avenue 46, 201, Indio, CA 92201 Phone: 760-391-6999 Fax: 760-391-6998 | |
Mirta Lerma, Counselor Medicare: Not Enrolled in Medicare Practice Location: 47915 Oasis St, Indio, CA 92201 Phone: 760-863-8638 | |
Dominick Cardillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 83844 Hopi Ave, Indio, CA 92203 Phone: 760-347-9442 | |
Michael Joel Lopez, CADC I Counselor Medicare: Not Enrolled in Medicare Practice Location: 44359 Palm St, Indio, CA 92201 Phone: 760-342-6616 | |
Justin Vaughn Flores, Counselor Medicare: Not Enrolled in Medicare Practice Location: 44374 Palm St, Indio, CA 92201 Phone: 760-342-6616 |