Individual provider · Type 1 NPI
Tiara Wise
Mental Health Counselor · Clinton, MD
NPI number
1831765304
Active
Practice location
4711 Woodelves Way
Clinton, MD 20735-2451
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1831765304
Tiara Wise's National Provider Identifier is 1831765304, issued on Jun 3, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Clinton, MD. The record was last updated on Jun 3, 2021.