Individual provider · Type 1 NPI

Staci Jan Wisemiller, LCAS-P

Addiction (Substance Use Disorder) Counselor · Greenville, NC

NPI number 1932483229 Active

Practice location

2313 Executive Cir, Suite C
Greenville, NC 27834-3744

Call (252) 215-5700 Map

Fax (252) 215-5701

Mailing address

2313 Executive Circle, Suite C
Greenville, NC 27834

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1932483229

Staci Jan Wisemiller, LCAS-P's National Provider Identifier is 1932483229, issued on Oct 5, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Greenville, NC. The record was last updated on Sep 9, 2013.