Individual
ALYSSA MARIE WISKOFSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC-C
Contact information
Practice address
24797 S HIGHWAY 66, CLAREMORE, OK 74019-2411
(405) 615-0748
Mailing address
PO BOX 33341, TULSA, OK 74153-3341
(405) 615-0748
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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