SUSAN WISE, LPC
Counselor - Professional
Active
Individual
NPI: 1912353715
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor | 101Y00000X | No | 000510 (MO) |
| Counselor - Professional | 101YP2500X | Yes | 000510 (MO) |
Frequently Asked Questions
NPI 1912353715 is the National Provider Identifier for SUSAN WISE, LPC, a Counselor - Professional provider located in Creve Coeur, MO. This NPI was enumerated on May 11, 2016.
SUSAN WISE, LPC practices at 711 OLD BALLAS RD., SUITE 203, Creve Coeur, MO 63141.
Quick Facts
- NPI
- 1912353715
- Type
- Individual
- Enumerated
- May 11, 2016
- Last Updated
- Feb 15, 2024
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