Individual
ALLYSON WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
200 PARK ST, MORRISVILLE, VT 05661-8659
(802) 793-7955
Mailing address
284 RUBY RAYMOND RD, WATERBURY CENTER, VT 05677-8081
(802) 793-7955
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0087759
VT
Other
Enumeration date
10/25/2017
Last updated
03/17/2018
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