Individual
SCOTT WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.
Contact information
Practice address
1825 JESS PARRISH CT, TITUSVILLE, FL 32796-2104
(321) 567-4460
Mailing address
3307 LAKE VIEW CIR, MELBOURNE, FL 32934-8376
(679) 309-6202
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/12/2024
Last updated
02/12/2024
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