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

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X83704 (TX)
Professional Counselor Primary 101YP2500X83704 (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.