Individual provider · Type 1 NPI

Brandi Wise

Addiction (Substance Use Disorder) Counselor · Eugene, OR

NPI number 1457170490 Active

Practice location

1040 Oak St
Eugene, OR 97401-3132

Mailing address

78 Centennial Loop Ste A
Eugene, OR 97401-7900

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist 175T00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1457170490

Brandi Wise's National Provider Identifier is 1457170490, issued on Oct 7, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eugene, OR. The record was last updated on Dec 23, 2024.