Individual
GRACE WISEMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
114 VILLAGE PL # 203, DILLON, CO 80435-6034
(970) 439-3109
Mailing address
302 IDLEWILD DR, DILLON, CO 80435-8334
(970) 439-3109
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
01/19/2026
Last updated
01/19/2026
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