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

Kenneth Wiseman

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1053905752

Kenneth Wiseman is an Addiction (Substance Use Disorder) Counselor in Grass Valley, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

159 Brentwood Dr
Grass Valley, CA 95945-5703
Phone: (530) 460-4083
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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 B00003980425 (CA)

Record details

NPI number1053905752
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2021
Last updated in NPPESMay 7, 2025
Certification dateMay 7, 2025
Mailing address159 Brentwood Dr, Grass Valley, CA 95945-5703

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