Individual provider · Type 1 NPI

Kenna Marie Wise, M.ED., LPC

Professional Counselor · Weatherford, OK

NPI number 1023340643 Active

Practice location

310 N State St Ste 3
Weatherford, OK 73096-5157

Call (580) 373-7609 Map

Mailing address

2208 Club House Dr
Weatherford, OK 73096-6200

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X3631 (OK)

Professional Counselor: Definition to come...

2 other providers at this address

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About NPI 1023340643

Kenna Marie Wise, M.ED., LPC's National Provider Identifier is 1023340643, issued on Feb 6, 2010. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Weatherford, OK. The record was last updated on Oct 21, 2026.