Individual provider · Type 1 NPI
Robert Graham Wise Jr., MD
Counselor · Toluca Lake, CA
NPI number
1609420371
Active
Practice location
10417 Riverside Dr Apt C
Toluca Lake, CA 91602-2466
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | 645732717 (CA) |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Other counselor providers in Toluca Lake
About NPI 1609420371
Robert Graham Wise Jr., MD's National Provider Identifier is 1609420371, issued on Jul 30, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Toluca Lake, CA. The record was last updated on Jul 30, 2019.