Bradley G. Wise, LICDC-CS

NPI #1194139980 in Mansfield, Ohio

Provider Information

NPI Number
1194139980
Entity Type
Individual
Name
Bradley G. Wise, LICDC-CS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Addiction (Substance Use Disorder)
Credential
LICDC-CS
Enumeration Date
Jun 19, 2014
Last Updated
Jun 19, 2014

Practice Location

Address
1150 N MAIN ST
State
Ohio
ZIP Code
44903-9718
Phone
(419) 526-2000

Specialties & Taxonomy Codes

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

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