person
Mr. Stephen Wise, LCPC,LPCC,LMHC
Mental Health Counselor in Blaine, Washington
NPI 1871775494

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

The current practice location address for Stephen Wise is 288 Martin St Ste 100, Blaine, WA and can be reached out via phone at 360-594-0767 and via fax at 888-972-9442.

Location: 288 Martin St Ste 100, Blaine, WA, 98231-0069
person
Provider Profile Details
NPI Number
1871775494
Provider Name
Stephen Wise
Credential
LCPC,LPCC,LMHC
Provider Entity Type
Individual
Gender
Male
Address
288 Martin St Ste 100, Blaine, WA, 98231-0069
Phone Number
360-594-0767
Fax Number
888-972-9442
Provider Enumeration Date
12/05/2007
Last Update Date
11/16/2024
institution
Provider Business Practice Location Address Details
Address
288 Martin St Ste 100
City
State
Zip
98230-4045
Phone Number
360-594-0767
Fax Number
888-972-9442
person
Provider Business Mailing Address Details
Address
288 Martin St Ste 100
City
State
Zip
98230-4045
Phone Number
360-594-0767
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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