Individual provider · Type 1 NPI
Evelyn Leah Wise, LPC
Mental Health Counselor · Nampa, ID
NPI number
1669107835
Active
Practice location
1015 Caldwell Blvd Ste 5
Nampa, ID 83651-1717
Mailing address
3206 Starlight Ave
Caldwell, ID 83605-6625
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC-9029 (ID) |
Mental Health Counselor: Definition to come...
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About NPI 1669107835
Evelyn Leah Wise, LPC's National Provider Identifier is 1669107835, issued on Jul 20, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Nampa, ID. The record was last updated on Jul 20, 2022.