Individual
TORI WISEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CRC, AADC
Contact information
Practice address
644 N HARPER ST, LAURENS, SC 29360-1920
(864) 681-3311
Mailing address
3 HIDEAWAY CT, SIMPSONVILLE, SC 29680-6783
(410) 967-0994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
AADC-2069
SC
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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