person
Mark Wayne Wiseman, LPC
Mental Health Counselor in Nampa, Idaho
NPI 1376847269

Mark Wayne Wiseman is a Mental Health Counselor based in Nampa, ID and is specialized in Mental Health. Mark Wayne Wiseman practices in Nampa, ID and has the professional credentials of LPC. The NPI Number for Mark Wayne Wiseman is 1376847269 and holds a License No. 3034 (Idaho).

The current practice location address for Mark Wayne Wiseman is 2422 12Th Ave Rd, Nampa, ID and can be reached out via phone at 208-919-9706.

Location: 2422 12Th Ave Rd, Nampa, ID, 83686-6300
person
Provider Profile Details
NPI Number
1376847269
Provider Name
Mark Wayne Wiseman
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
2422 12Th Ave Rd, Nampa, ID, 83686-6300
Phone Number
208-919-9706
Fax Number
Provider Enumeration Date
01/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2422 12Th Ave Rd
City
State
Zip
83686-6300
Phone Number
208-919-9706
Fax Number
person
Provider Business Mailing Address Details
Address
2422 12Th Ave Rd
City
State
Zip
83686-6300
Phone Number
208-919-9706
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
3034 (Idaho)
Definition
Definition to come...
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