Individual
DR. ANNA WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
12 EXECUTIVE PARK DR NE STE 300, ATLANTA, GA 30329-2206
(404) 727-4592
(330) 678-3677
Mailing address
12 EXECUTIVE PARK DR NE STE 300, ATLANTA, GA 30329-2206
(404) 727-4592
(330) 678-3677
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY004597
GA
Other
Enumeration date
03/13/2018
Last updated
05/03/2022
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