Charles T Wisneski, MSWLCSW
NPI #1790833069 in Cottonwood, Arizona
Provider Information
- NPI Number
- 1790833069
- Entity Type
- Individual
- Name
- Charles T Wisneski, MSWLCSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- MSWLCSW
- Enumeration Date
- Jan 5, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 703 S MAIN ST STE 5
- City
- Cottonwood
- State
- Arizona
- ZIP Code
- 86326-4615
- Phone
- (928) 634-0964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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