MS. TINA WIBSTAD, LCSW, LSSW, CADC III

Social Worker - Clinical

Active Individual
NPI: 1518275130

Practice Address

906 MAIN AVE
Tillamook, OR 97141

Phone: (503) 842-8201

Specialties

Specialty Code Primary License
Counselor - Addiction (Substance Use Disorder) 101YA0400X No 12-06-70 (OR)
Social Worker - School 1041S0200X No 10517192 (OR)
Social Worker - Clinical 1041C0700X Yes L5975 (OR)

Frequently Asked Questions

NPI 1518275130 is the National Provider Identifier for MS. TINA WIBSTAD, LCSW, LSSW, CADC III, a Social Worker - Clinical provider located in Tillamook, OR. This NPI was enumerated on September 16, 2010.
MS. TINA WIBSTAD, LCSW, LSSW, CADC III practices at 906 MAIN AVE, Tillamook, OR 97141.

Quick Facts

NPI
1518275130
Type
Individual
Enumerated
Sep 16, 2010
Last Updated
Apr 4, 2019

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