Individual provider · Type 1 NPI
Kelly Buxton Wise, M.A. LMFT, PLPC
Professional Counselor · Monroe, LA
NPI number
1821653676
Active
Practice location
300 Washington St Ste 310A
Monroe, LA 71201-6761
Mailing address
300 Washington St Ste 310
Monroe, LA 71201-6761
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT1403 (LA) |
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1821653676
Kelly Buxton Wise, M.A. LMFT, PLPC's National Provider Identifier is 1821653676, issued on May 7, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Monroe, LA. The record was last updated on Apr 23, 2026.