Individual
ANNALISE EVELYN WISNIEWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
302 CALIFORNIA AVE STE 212, WAHIAWA, HI 96786-1841
(808) 542-9599
Mailing address
45-419 MOKULELE DR APT 1, KANEOHE, HI 96744-2110
(815) 355-5169
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MHC-1096
HI
Other
Enumeration date
06/08/2021
Last updated
03/19/2025
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