Individual
MRS. KATIE ANNE WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED,LPCC,
Contact information
Practice address
US 1909, US 1909, BARBOURVILLE, KY 40906-4090
(606) 546-3805
(606) 546-3903
Mailing address
21 KEENELAND TRL, CORBIN, KY 40701-8544
(937) 869-2932
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103975
KY
Other
Enumeration date
05/01/2006
Last updated
06/04/2019
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