Organization
WISDOM COUNSELING AND CONSULTATION
Active
Other names
Wisdom Counseling and Consultation
Organization subpart
No
Provider details
NPI number
Authorized official
RICHELLE WISDOM (COUNSELOR)
(573) 259-7392
Entity
Organization
Contact information
Practice address
119 W 4TH ST, SALEM, MO 65560-1255
(573) 259-7392
Mailing address
117 W 4TH ST, SALEM, MO 65560-1255
(573) 259-7392
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
490028330
—
MO
Enumeration date
12/10/2019
Last updated
12/10/2019
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