person
Bradley G. Wise, LICDC-CS
Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio
NPI 1194139980

Bradley G. Wise is an Addiction (Substance Use Disorder) Counselor based in Mansfield, OH and is specialized in Addiction (Substance Use Disorder). Bradley G. Wise practices in Mansfield, OH and has the professional credentials of LICDC-CS. The NPI Number for Bradley G. Wise is 1194139980 and holds a License No. 954172 (Ohio).

The current practice location address for Bradley G. Wise is 1150 N Main St, Mansfield, OH and can be reached out via phone at 419-526-2000 and via fax at 419-524-8022. You can also correspond with Bradley G. Wise through the mailing address at PO BOX 788, MANSFIELD, OH - 44901-0788 (mailing address contact number: 419-526-2000).

Location: 1150 N Main St, Mansfield, OH, 44901-0788
person
Provider Profile Details
NPI Number
1194139980
Provider Name
Bradley G. Wise
Credential
LICDC-CS
Provider Entity Type
Individual
Gender
Male
Address
1150 N Main St, Mansfield, OH, 44901-0788
Phone Number
419-526-2000
Fax Number
419-524-8022
Provider Enumeration Date
06/19/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1150 N Main St
City
State
Zip
44903-9718
Phone Number
419-526-2000
Fax Number
419-524-8022
person
Provider Business Mailing Address Details
Address
1150 N Main St
City
State
Zip
44903-9718
Phone Number
419-526-2000
Fax Number
419-524-8022
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
954172 (Ohio)
Definition
Definition to come...
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