Individual provider · Type 1 NPI

Tyler Scott Wise

Mental Health Counselor · Central Point, OR

NPI number 1063265361 Active

Practice location

524 Manzanita St
Central Point, OR 97502-2352

Call (541) 423-5236 Map

Fax (541) 423-5248

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1063265361

Tyler Scott Wise's National Provider Identifier is 1063265361, issued on Apr 8, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Central Point, OR. The record was last updated on Apr 8, 2024.