Individual
MS. JULIANE WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
801 W. OCEAN, #2256, LOMPOC, CA 93438-2256
(626) 657-0113
Mailing address
PO BOX 2256, LOMPOC, CA 93438-2256
(626) 657-0113
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
11/23/2015
Last updated
02/02/2017
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