Individual
RENEE LYNN WISDOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2001 EXCHANGE DR # 102, SAINT CHARLES, MO 63303-5916
(636) 344-0133
Mailing address
278 HICKORY WOOD DR, LAKE ST LOUIS, MO 63367-2589
(314) 608-8800
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2013016360
MO
Other
Enumeration date
01/04/2018
Last updated
01/08/2024
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