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Courtney Leeann Wise, PRS
Peer Specialist in Federalsburg, Maryland
NPI 1568148682

Courtney Leeann Wise is a Peer Specialist based in Federalsburg, MD. Courtney Leeann Wise practices in Federalsburg, MD and has the professional credentials of PRS. The NPI Number for Courtney Leeann Wise is 1568148682 and holds a License No. (Maryland).

The current practice location address for Courtney Leeann Wise is 215 Bloomingdale Ave, Federalsburg, MD and can be reached out via phone at 410-754-9021 and via fax at 833-908-2285.

Location: 215 Bloomingdale Ave, Federalsburg, MD, 21632-1012
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568148682
Provider Name
Courtney Leeann Wise
Credential
PRS
Provider Entity Type
Individual
Gender
Female
Address
215 Bloomingdale Ave, Federalsburg, MD, 21632-1012
Phone Number
410-754-9021
Fax Number
833-908-2285
Provider Enumeration Date
06/23/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
215 Bloomingdale Ave
City
Federalsburg
State
Maryland
Zip
21632-1012
Phone Number
410-754-9021
Fax Number
833-908-2285
person
Provider Business Mailing Address Details
Address
215 Bloomingdale Ave
City
Federalsburg
State
Maryland
Zip
21632-1012
Phone Number
410-754-9021
Fax Number
833-908-2285
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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