Individual
JAMES WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
22664 STATE ROUTE 73, WEST PORTSMOUTH, OH 45663-6365
(740) 858-6656
Mailing address
22664 STATE ROUTE 73, WEST PORTSMOUTH, OH 45663-6365
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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