person
Matthew Lee Wise
Addiction (Substance Use Disorder) Counselor in Louisa, Kentucky
NPI 1497445860

Matthew Lee Wise is an Addiction (Substance Use Disorder) Counselor based in Louisa, KY and is specialized in Addiction (Substance Use Disorder). Matthew Lee Wise practices in Louisa, KY. The NPI Number for Matthew Lee Wise is 1497445860 and holds a License No. 273260 (Kentucky).

The current practice location address for Matthew Lee Wise is 125 S Main Cross St, Louisa, KY and can be reached out via phone at 606-638-0938 and via fax at 859-813-5394. You can also correspond with Matthew Lee Wise through the mailing address at 125 S MAIN CROSS ST, LOUISA, KY - 41230-1065 (mailing address contact number: 606-638-0938).

Location: 125 S Main Cross St, Louisa, KY, 41230-1065
person
Provider Profile Details
NPI Number
1497445860
Provider Name
Matthew Lee Wise
Credential
Provider Entity Type
Individual
Gender
Male
Address
125 S Main Cross St, Louisa, KY, 41230-1065
Phone Number
606-638-0938
Fax Number
859-813-5394
Provider Enumeration Date
05/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
125 S Main Cross St
City
State
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
859-813-5394
person
Provider Business Mailing Address Details
Address
125 S Main Cross St
City
State
Zip
41230-1065
Phone Number
606-638-0938
Fax Number
859-813-5394
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
273260 (Kentucky)
Definition
Definition to come...
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