MR. Charles Afton Wise, MA LMHC

NPI #1568863165 in Winter Springs, Florida

Provider Information

NPI Number: 1568863165
Entity Type: Individual
Name: MR. Charles Afton Wise, MA LMHC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MA LMHC
Enumeration Date: Sep 15, 2014
Last Updated: Sep 15, 2014

Practice Location

Address: 1491 EAST SR 434
Address 2: SUITE 104
City: Winter Springs
State: Florida
ZIP Code: 32708
Phone: (407) 366-5656

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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