Individual
CHRISTOPHER E WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHA
Contact information
Practice address
913 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2503
(270) 706-1212
Mailing address
175 COWLEY CROSSING LN, ELIZABETHTOWN, KY 42701-4482
(270) 307-4896
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
256491
KY
Other
Enumeration date
06/07/2012
Last updated
07/17/2026
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