Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andrew Wildasinn

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1700418837

Andrew Wildasinn is an Addiction (Substance Use Disorder) Counselor in Upland, California. Licensed in California. Registered with an NPI since 2020.

Licensed in
CA
In the registry since
2020

Practice location Address checks out

239 W 9th St
Upland, CA 91786-5979
Phone: (909) 981-6121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence A018030315 (CA)

Record details

NPI number1700418837
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 6, 2020
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020
Mailing address239 W 9th St, Upland, CA 91786-5979

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