Healthcare Provider Details
I. General information
NPI: 1841858339
Provider Name (Legal Business Name): ERIK WILHELMI CADC-I
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/30/2019
Last Update Date: 05/30/2025
Certification Date: 05/30/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
170 9TH ST
SAN FRANCISCO CA
94103-2603
US
IV. Provider business mailing address
170 9TH ST
SAN FRANCISCO CA
94103-2603
US
V. Phone/Fax
- Phone: 415-410-7152
- Fax: 415-255-7726
- Phone: 415-410-7152
- Fax: 415-255-7726
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YA0400X |
| Taxonomy | Addiction (Substance Use Disorder) Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 172V00000X |
| Taxonomy | Community Health Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: