Individual
NICOLE WISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
176 HEPNER ROAD, HAMBURG, PA 19526
(610) 207-4163
Mailing address
176 HEPNER RD, HAMBURG, PA 19526-8115
(610) 207-4163
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
09/29/2015
Last updated
09/29/2015
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