Individual provider · Type 1 NPI

Derek Wise, MA, LCPC

Professional Counselor · Las Vegas, NV

NPI number 1740692334 Active

Practice location

5510 S Fort Apache Rd
Las Vegas, NV 89148-7700

Specialties and licenses

Taxonomy	Code	License
Professional Counselor Primary	101YP2500X	CP1204 (NV)

Professional Counselor: Definition to come...

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About NPI 1740692334

Derek Wise, MA, LCPC's National Provider Identifier is 1740692334, issued on May 30, 2014. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Las Vegas, NV. The record was last updated on May 31, 2025.