person
Mr. Stephen Wise, LCPC,LPCC
Mental Health Counselor in Santa Rosa, California
NPI 1871775494

Stephen Wise is a Mental Health Counselor based in Santa Rosa, CA and is specialized in Mental Health. Stephen Wise practices in Santa Rosa, CA and has the professional credentials of LCPC,LPCC. The NPI Number for Stephen Wise is 1871775494 and holds a License No. 180.007858 (California).

The current practice location address for Stephen Wise is 5901 Old Redwood Hwy, Santa Rosa, CA and can be reached out via phone at 847-893-9473 and via fax at 888-972-9442. You can also correspond with Stephen Wise through the mailing address at PO BOX 11692, SANTA ROSA, CA - 95406-1692 (mailing address contact number: 847-893-9473).

Location: 5901 Old Redwood Hwy, Santa Rosa, CA, 95406-1692
person
Provider Profile Details
NPI Number
1871775494
Provider Name
Stephen Wise
Credential
LCPC,LPCC
Provider Entity Type
Individual
Gender
Male
Address
5901 Old Redwood Hwy, Santa Rosa, CA, 95406-1692
Phone Number
847-893-9473
Fax Number
888-972-9442
Provider Enumeration Date
12/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
5901 Old Redwood Hwy
City
State
Zip
95403-1119
Phone Number
847-893-9473
Fax Number
888-972-9442
person
Provider Business Mailing Address Details
Address
5901 Old Redwood Hwy
City
State
Zip
95403-1119
Phone Number
847-893-9473
Fax Number
888-972-9442
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180.007858 (Illinois)
Definition
Definition to come...
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