Individual provider · Type 1 NPI

Robert L. Wiseman Jr.

Counselor · San Carlos, CA

NPI number 1639570104 Active

Practice location

957 Industrial Rd Ste B
San Carlos, CA 94070-4152

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

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.

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About NPI 1639570104

Robert L. Wiseman Jr.'s National Provider Identifier is 1639570104, issued on Sep 15, 2014. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Carlos, CA. The record was last updated on Sep 15, 2014.