Individual
DR. ATIA JONTE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
8406 SIX FORKS RD STE 104, RALEIGH, NC 27615-3075
(919) 373-2868
Mailing address
610 PURPLE ASTER ST, YOUNGSVILLE, NC 27596-4403
(919) 824-7394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
12120
NC
101YP2500X
Professional Counselor
S12120
NC
Other
Enumeration date
08/30/2016
Last updated
10/02/2025
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