Individual provider · Type 1 NPI

Roger Wisard Ii

Professional Counselor · Austin, TX

NPI number 1336520089 Active

Practice location

1430 Collier St
Austin, TX 78704-2911

Call (512) 585-3383 Map

Mailing address

140 Geronimo Cv
Kyle, TX 78640-4622

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X71852 (TX)

Professional Counselor: Definition to come...

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About NPI 1336520089

Roger Wisard Ii's National Provider Identifier is 1336520089, issued on Jun 17, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Jul 14, 2015.