Individual provider · Type 1 NPI

Charles T. Wisneski, MSWLCSW

Mental Health Counselor · Cottonwood, AZ

NPI number 1790833069 Active

Practice location

703 S Main St Ste 5
Cottonwood, AZ 86326-4615

Call (928) 634-0964 Map

Fax (928) 649-6852

Mailing address

515 Casner Dr
Clarkdale, AZ 86324-3619

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW-0714 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1790833069

Charles T. Wisneski, MSWLCSW's National Provider Identifier is 1790833069, issued on Jan 5, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cottonwood, AZ. The record was last updated on Jul 8, 2007.