Individual
MR. CHARLES AFTON WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA LMHC
Contact information
Practice address
1491 EAST SR 434, SUITE 104, WINTER SPRINGS, FL 32708
(407) 366-5656
(407) 386-6658
Mailing address
1054 GOULD PLACE, OVIEDO, FL 32765
(407) 366-5656
(407) 386-6658
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MH3981
FL
Other
Enumeration date
09/15/2014
Last updated
09/15/2014
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