Individual provider · Type 1 NPI

Lakeesha M. Wise

Addiction (Substance Use Disorder) Counselor · Canton, OH

NPI number 1407335011 Active

Practice location

1930 Fulton Rd NW Ste 103
Canton, OH 44709-3526

Fax (330) 956-5623

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.164627 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

34 other providers at this address

Other addiction (substance use disorder) counselor providers in Canton

See all in Canton →

About NPI 1407335011

Lakeesha M. Wise's National Provider Identifier is 1407335011, issued on Aug 14, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canton, OH. The record was last updated on Aug 14, 2018.