Individual provider · Type 1 NPI

Jill Rene Wiseman

Professional Counselor · Katy, TX

NPI number 1154028090 Active

Practice location

23410 Grand Reserve Dr Ste 301
Katy, TX 77494-4989

Call (855) 284-7483 Map

Fax (617) 807-0958

Mailing address

PO Box 748465
Atlanta, GA 30374-8465

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X18386 (TX)

Professional Counselor: Definition to come...

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About NPI 1154028090

Jill Rene Wiseman's National Provider Identifier is 1154028090, issued on Feb 10, 2023. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Katy, TX. The record was last updated on Feb 10, 2023.