Individual
ASHLEY R. WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
851 E 5TH ST STE 308, WASHINGTON, MO 63090-3130
(636) 432-5500
Mailing address
851 E 5TH ST STE 308, WASHINGTON, MO 63090-3130
(636) 432-5500
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
2023041088
MO
101YP2500X
Professional Counselor
Primary
2023041088
MO
Other
Enumeration date
10/11/2023
Last updated
12/17/2024
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