Individual
MISTY M WISENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
49 TOWNSHIP ROAD 365, SOUTH POINT, OH 45680-9409
(740) 451-0221
Mailing address
49 TOWNSHIP ROAD 365, SOUTH POINT, OH 45680-9409
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/16/2020
Last updated
04/18/2022
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