Individual provider · Type 1 NPI
Tracey Wise
Mental Health Counselor · Pepeekeo, HI
NPI number
1992421705
Active
Practice location
28-2890 Kapehu Place
Pepeekeo, HI 96783
Mailing address
PO Box 1022
Pepeekeo, HI 96783-1022
Other practice locations
- 28-2873 Loea Place, Pepeekeo, HI 96783 · (808) 895-2593
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1414-08 (HI) |
| Mental Health Counselor Primary | 101YM0800X | MHC-253 (HI) |
Mental Health Counselor: Definition to come...
About NPI 1992421705
Tracey Wise's National Provider Identifier is 1992421705, issued on Oct 13, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pepeekeo, HI. The record was last updated on Oct 13, 2022.