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Organization
WISEMIND COUNSELING LLC
Active
Organization
WISEMIND COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN MARIE CLARK LPCC-S (PROFESSIONAL CLINICAL COUNSELOR)
(330) 968-8224
Entity
Organization
Contact information
Practice address
112 S WATER ST STE B, KENT, OH 44240-3689
(330) 968-8224
Mailing address
112 S WATER ST STE B, KENT, OH 44240-3689
(330) 968-8224
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329816
—
OH
Enumeration date
05/29/2019
Last updated
05/29/2019
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