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

Athena Marie Wildman

Individual provider Professional Counselor · NPI 1245999291

Athena Marie Wildman is a Professional Counselor in Claremont, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
Specialties on file
3

Practice location Address checks out

650 S Indian Hill Blvd
Claremont, CA 91711-5444
Phone: (909) 399-2222
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 19703 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 13019 (CA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X

Record details

NPI number1245999291
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedDecember 16, 2021
Last updated in NPPESJune 1, 2026
Certification dateJune 1, 2026

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