Individual provider · Type 1 NPI

Stacy Wise

Addiction (Substance Use Disorder) Counselor · Oak Bluffs, MA

NPI number 1669957007 Active

Practice location

111 Edgartown Road
Oak Bluffs, MA 02557

Call (508) 693-7900 Map

Mailing address

111 Edgartown Rd
Vineyard Haven, MA 02568-5699

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669957007

Stacy Wise's National Provider Identifier is 1669957007, issued on Oct 2, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oak Bluffs, MA. The record was last updated on Oct 2, 2018.