Individual provider · Type 1 NPI

Sharetha Wise

Mental Health Counselor · Shreveport, LA

NPI number 1649789538 Active

Practice location

9403 Mansfield Rd
Shreveport, LA 71118-3815

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1649789538

Sharetha Wise's National Provider Identifier is 1649789538, issued on Sep 24, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Sep 24, 2017.