Individual
MS. WENDY B WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COUNSELOR II
Contact information
Practice address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(847) 377-8000
Mailing address
3010 GRAND AVE, WAUKEGAN, IL 60085-2321
(909) 520-7502
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/09/2012
Last updated
07/18/2024
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