Individual provider · Type 1 NPI

Joshua Shane Wiseman, LICDC

Addiction (Substance Use Disorder) Counselor · Columbus, OH

NPI number 1669960449 Active

Practice location

4725 Parkwick Dr
Columbus, OH 43228-6401

Call (614) 655-3354 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLICDC.162064 (OH)

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

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About NPI 1669960449

Joshua Shane Wiseman, LICDC's National Provider Identifier is 1669960449, issued on Apr 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Columbus, OH. The record was last updated on Sep 17, 2020.