Individual provider · Type 1 NPI

Elisabeth Grace Wise, M.A., QMHP

Mental Health Counselor · Newberg, OR

NPI number 1205474053 Active

Practice location

414 N Meridian St
Newberg, OR 97132-2697

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205474053

Elisabeth Grace Wise, M.A., QMHP's National Provider Identifier is 1205474053, issued on Dec 11, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Newberg, OR. The record was last updated on Dec 11, 2019.