Lydia Shantera Wedderburn
Counselor, Addiction (Substance Use Disorder) in Cantonment, FL. Individual provider (NPI-1).
NPI number1982191680
StatusActive
Last updated in NPPESApr 18, 2018
Details
- NPI
- 1982191680
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lydia Shantera Wedderburn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 18, 2018
- Last updated
- Apr 18, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
2420 S Highway 29Cantonment, FL 32533-5808
Phone 850-968-3565
Mailing address
2420 S Highway 29Cantonment, FL 32533-5808
Phone 850-968-3565
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All 21 Addiction (Substance Use Disorder) Counselor providers in Cantonment · All 444 providers in Cantonment
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