Individual provider · Type 1 NPI
Betty Ann Wise
Counselor · Santa Monica, CA
NPI number
1922664440
Active
Practice location
1865 W. 9th Street
Santa Monica, CA 90405
Mailing address
2644 30th St Ste 100
Santa Monica, CA 90405-3051
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1922664440
Betty Ann Wise's National Provider Identifier is 1922664440, issued on May 10, 2019. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Santa Monica, CA. The record was last updated on Oct 30, 2019.