Individual
MR. EDWARD C WIPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS LPC CSAC
Contact information
Practice address
1507 TOWER AVE, SUITE 210, SUPERIOR, WI 54880-2532
(715) 392-3331
Mailing address
1507 TOWER AVE, SUITE 210, SUPERIOR, WI 54880-2532
(715) 392-3331
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2025-132
WI
101YM0800X
Mental Health Counselor
Primary
2342-125
WI
Other
Enumeration date
03/11/2011
Last updated
03/11/2011
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