Individual
JAMES M WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFTA
Contact information
Practice address
942 W 4TH ST, WINSTON SALEM, NC 27101-2582
(336) 355-8244
Mailing address
1941 DENISE LN, WINSTON SALEM, NC 27127-8750
(423) 707-5447
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10938A
NC
Other
Enumeration date
12/21/2023
Last updated
12/26/2023
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