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SUSAN WISE, LPC

LPC

Professional Counselor

NPI: 1912353715IndividualAccepts Medicare

Specialties, Licenses & Credentials

Counselor

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

Quick Facts

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

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