Individual provider · Type 1 NPI
Casey Layne Wise
Addiction (Substance Use Disorder) Counselor · Broken Arrow, OK
NPI number
1972028132
Active
Practice location
1044 N Narcissus Ave
Broken Arrow, OK 74012-1468
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1972028132
Casey Layne Wise's National Provider Identifier is 1972028132, issued on Aug 9, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Broken Arrow, OK. The record was last updated on Aug 9, 2017.