Individual
ANDREA HISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1606 PHYSICIANS DR STE 104, WILMINGTON, NC 28401-7348
(910) 343-6890
Mailing address
711 ARNOLD RD, WILMINGTON, NC 28412-7734
(910) 508-1579
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
A10470
NC
Other
Enumeration date
01/21/2014
Last updated
01/21/2014
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