Joan E Wise, MA, CAC III

NPI #1134361009 in Pueblo, Colorado

Provider Information

NPI Number
1134361009
Entity Type
Individual
Name
Joan E Wise, MA, CAC III
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
MA, CAC III
Enumeration Date
Mar 24, 2009
Last Updated
Mar 24, 2009

Practice Location

Address
310 W C ST
City
Pueblo
ZIP Code
81003-3409
Phone
(719) 296-1366

Specialties & Taxonomy Codes

Specialty
Counselor - Addiction (Substance Use Disorder)Addiction (Substance Use Disorder)

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