Individual provider · Type 1 NPI
Lori Suzanne Wise, LCADC
Professional Counselor · Baltimore, MD
NPI number
1689829772
Active
Practice location
4940 Eastern Ave
Baltimore, MD 21224-2735
Mailing address
PO Box 64260
Baltimore, MD 21264-4260
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LCA300 (MD) |
Professional Counselor: Definition to come...
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About NPI 1689829772
Lori Suzanne Wise, LCADC's National Provider Identifier is 1689829772, issued on Nov 18, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Baltimore, MD. The record was last updated on Nov 18, 2008.