person
Lakeesha M Wise
Addiction (Substance Use Disorder) Counselor in Canton, Ohio
NPI 1407335011

Lakeesha M Wise is an Addiction (Substance Use Disorder) Counselor based in Canton, OH and is specialized in Addiction (Substance Use Disorder). Lakeesha M Wise practices in Canton, OH. The NPI Number for Lakeesha M Wise is 1407335011 and holds a License No. CDCA.164627 (Ohio).

The current practice location address for Lakeesha M Wise is 1930 Fulton Rd Nw Ste 103, Canton, OH and can be reached out via phone at 330-956-5936 and via fax at 330-956-5623.

Location: 1930 Fulton Rd Nw Ste 103, Canton, OH, 44709-3526
person
Provider Profile Details
NPI Number
1407335011
Provider Name
Lakeesha M Wise
Credential
Provider Entity Type
Individual
Gender
Female
Address
1930 Fulton Rd Nw Ste 103, Canton, OH, 44709-3526
Phone Number
330-956-5936
Fax Number
330-956-5623
Provider Enumeration Date
08/14/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1930 Fulton Rd Nw Ste 103
City
State
Zip
44709-3526
Phone Number
330-956-5936
Fax Number
330-956-5623
person
Provider Business Mailing Address Details
Address
1930 Fulton Rd Nw Ste 103
City
State
Zip
44709-3526
Phone Number
330-956-5936
Fax Number
330-956-5623
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDCA.164627 (Ohio)
Definition
Definition to come...
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