SUSAN WISE, LPC

LPC

Professional Counselor

NPI: 1912353715IndividualAccepts Medicare

Specialties, Licenses & Credentials

Counselor

Code: 101Y00000X

000510(MO)

Professional CounselorPrimary

Counselor — Professional

Code: 101YP2500X

000510(MO)

CMS Specialties

PrimaryMENTAL HEALTH COUNSELOR

Education

OTHER

Class of 1988

Contact & Hours

Address: 711 OLD BALLAS RD, SUITE 203
CREVE COEUR, MO 63141
Phone: (314) 569-2253

Quick Facts

NPI: 1912353715
Entity Type: Individual
Gender: Female
Medicare: Accepted
Specialties: 2
Locations: 1
Years in Practice: 38

Are you this provider?

Claim Your Profile