Individual provider · Type 1 NPI

Christina Wisner

Mental Health Counselor · Vinita, OK

NPI number 1417209586 Active

Practice location

405 E Excelsior Ave
Vinita, OK 74301-4226

Fax (918) 256-3628

Mailing address

114 W Delaware Ave
Nowata, OK 74048-2601

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1417209586

Christina Wisner's National Provider Identifier is 1417209586, issued on Oct 12, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Vinita, OK. The record was last updated on Oct 12, 2012.