Individual
KRISTIE RENEE WISE-AVRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
255 BUTLER AVE STE 300, LANCASTER, PA 17601-6308
(717) 875-4528
Mailing address
105 N BARBARA ST, MOUNT JOY, PA 17552-1403
(229) 232-1260
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MF001601
PA
Other
Enumeration date
03/20/2024
Last updated
03/20/2024
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