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Susan Wise, LPC
Professional Counselor in Creve Coeur, Missouri
NPI 1912353715

Susan Wise is a Professional Counselor based in Creve Coeur, MO and is specialized in Professional. Susan Wise practices in Creve Coeur, MO and has the professional credentials of LPC. The NPI Number for Susan Wise is 1912353715 and holds a License No. 000510 (Missouri).

The current practice location address for Susan Wise is 711 Old Ballas Rd., Creve Coeur, MO and can be reached out via phone at 314-569-2253 and via fax at 314-569-2280.

Location: 711 Old Ballas Rd., Creve Coeur, MO, 63141
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1912353715
Provider Name
Susan Wise
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
711 Old Ballas Rd., Creve Coeur, MO, 63141
Phone Number
314-569-2253
Fax Number
314-569-2280
Provider Enumeration Date
05/11/2016
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
711 Old Ballas Rd.
City
Creve Coeur
State
Missouri
Zip
63141
Phone Number
314-569-2253
Fax Number
314-569-2280
person
Provider Business Mailing Address Details
Address
711 Old Ballas Rd.
City
Creve Coeur
State
Missouri
Zip
63141
Phone Number
314-569-2253
Fax Number
314-569-2280
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
000510 (Missouri)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
000510 (Missouri)
Definition
Definition to come...
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