Individual
KATHY J WISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
921 MINERAL RD, GLENVILLE, WV 26351-1342
(304) 974-5000
Mailing address
139 RIVER ST, 139 RIVER STREET, GLENVILLE, WV 26351-9515
(304) 974-5000
(304) 765-2634
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
WV
Other
Enumeration date
05/14/2026
Last updated
05/14/2026
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