Individual provider · Type 1 NPI

Susan Wise, LPC

Professional Counselor · Creve Coeur, MO

NPI number 1912353715 Active

Practice location

711 Old Ballas Rd., Suite 203
Creve Coeur, MO 63141

Call (314) 569-2253 Map

Fax (314) 569-2280

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000X000510 (MO)
Professional Counselor Primary 101YP2500X000510 (MO)

Professional Counselor: Definition to come...

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About NPI 1912353715

Susan Wise, LPC's National Provider Identifier is 1912353715, issued on May 11, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Creve Coeur, MO. The record was last updated on Feb 15, 2024.