Individual provider · Type 1 NPI
Alfred Bernard Wishart, LPC, LCDC, MAC, CRC
Professional Counselor · Dallas, TX
NPI number
1639550874
Active
Practice location
5507 Reiger Ave
Dallas, TX 75214-5041
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 12537 (TX) |
| Mental Health Counselor | 101YM0800X | 71266 (TX) |
| Professional Counselor Primary | 101YP2500X | 71266 (TX) |
Professional Counselor: Definition to come...
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About NPI 1639550874
Alfred Bernard Wishart, LPC, LCDC, MAC, CRC's National Provider Identifier is 1639550874, issued on Jun 13, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Nov 10, 2016.