Individual
MS. ANNE WISE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
L.M.H.C.
Contact information
Practice address
137 HOSPITAL DR, FORT WALTON BEACH, FL 32548
(850) 833-7413
(850) 833-7434
Mailing address
137 HOSPITAL DR, FORT WALTON BEACH, FL 32548
(850) 833-7413
(850) 833-7434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH 4532
FL
Other
Enumeration date
02/16/2006
Last updated
07/08/2007
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