Individual
PAIGE WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AAS
Contact information
Practice address
11242 N 1175 W, MONTICELLO, IN 47960-8103
(574) 297-1193
Mailing address
11536 W 1172 N, MONTICELLO, IN 47960-4744
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IN
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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