Individual
MR. SCOTT WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC II
Contact information
Practice address
65 N HIGHWAY 101, SUITE 204, WARRENTON, OR 97146-9371
(503) 325-5722
Mailing address
65 N HIGHWAY 101, SUITE 204, WARRENTON, OR 97146-9371
(503) 325-5722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
99-07-36
OR
Other
Enumeration date
06/11/2015
Last updated
06/11/2015
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