Individual provider · Type 1 NPI
Kady Maxwell Wise, LPC-
Professional Counselor · Austin, TX
NPI number
1356963813
Active
Practice location
2520 Longview St Ste 307
Austin, TX 78705-4202
Fax (877) 775-9422
Mailing address
218 Hunters Cir
Longview, TX 75605-7473
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | 83704 (TX) |
| Professional Counselor Primary | 101YP2500X | 83704 (TX) |
Professional Counselor: Definition to come...
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About NPI 1356963813
Kady Maxwell Wise, LPC-'s National Provider Identifier is 1356963813, issued on May 7, 2020. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Oct 20, 2022.