Individual provider · Type 1 NPI

Jackie Wise, MHS

Mental Health Counselor · Reading, PA

NPI number 1063007201 Active

Practice location

3605 Orchard View Rd
Reading, PA 19606-3921

Call (610) 781-0331 Map

Other practice locations

  • 340 S Liberty St, Orwigsburg, PA 17961-2110 · (570) 366-1154

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063007201

Jackie Wise, MHS's National Provider Identifier is 1063007201, issued on Mar 9, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Reading, PA. The record was last updated on Mar 9, 2021.