Individual provider · Type 1 NPI
Elizabeth L. Wise, LCSW
Mental Health Counselor · Pine Mountain Club, CA
NPI number
1255833125
Active
Practice location
2500 Cedarwood Dr.
Pine Mountain Club, CA 93222-6750
Mailing address
PO Box 6750
Pine Mountain Club, CA 93222-6750
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker | 1041C0700X | 75984 (CA) |
| Mental Health Counselor Primary | 101YM0800X | 99104 (CA) |
Mental Health Counselor: Definition to come...
Another provider at this address
Other mental health counselor providers in Pine Mountain Club
About NPI 1255833125
Elizabeth L. Wise, LCSW's National Provider Identifier is 1255833125, issued on Mar 6, 2018. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pine Mountain Club, CA. The record was last updated on Sep 17, 2021.