Julie Wise, MS, LCPC, NCC

NPI #1538225891 in Montpelier, Idaho

Provider Information

NPI Number: 1538225891
Entity Type: Individual
Name: Julie Wise, MS, LCPC, NCC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Mental Health
Credential: MS, LCPC, NCC
Enumeration Date: Dec 29, 2006
Last Updated: Jul 9, 2007

Practice Location

Address: 164 S 5TH ST
City: Montpelier
State: Idaho
ZIP Code: 83254-1557
Phone: (208) 847-4464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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