person
Charles T Wisneski, MSWLCSW
Mental Health Counselor in Cottonwood, Arizona
NPI 1790833069

Charles T Wisneski is a Mental Health Counselor based in Clarkdale, AZ and is specialized in Mental Health. Charles T Wisneski practices in Cottonwood, AZ and has the professional credentials of MSWLCSW. The NPI Number for Charles T Wisneski is 1790833069 and holds a License No. LCSW-0714 (Arizona).

The current practice location address for Charles T Wisneski is 703 S Main St Ste 5, Cottonwood, AZ and can be reached out via phone at 928-634-0964 and via fax at 928-649-6852.

Location: 703 S Main St Ste 5, Cottonwood, AZ, 86324-3619
person
Provider Profile Details
NPI Number
1790833069
Provider Name
Charles T Wisneski
Credential
MSWLCSW
Provider Entity Type
Individual
Gender
Male
Address
703 S Main St Ste 5, Cottonwood, AZ, 86324-3619
Phone Number
928-634-0964
Fax Number
928-649-6852
Provider Enumeration Date
01/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
703 S Main St Ste 5
City
State
Zip
86326-4615
Phone Number
928-634-0964
Fax Number
928-649-6852
person
Provider Business Mailing Address Details
Address
703 S Main St Ste 5
City
State
Zip
86326-4615
Phone Number
928-634-0964
Fax Number
928-649-6852
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LCSW-0714 (Arizona)
Definition
Definition to come...
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