Individual
DR. BRIAN KEITH WISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC-S, NCC
Contact information
Practice address
5775 CHASE POINT CIR, COLORADO SPRINGS, CO 80919-3589
(719) 318-3022
Mailing address
5775 CHASE POINT CIR, COLORADO SPRINGS, CO 80919-3589
(197) 318-3022
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0017202
CO
Other
Enumeration date
02/22/2007
Last updated
10/12/2023
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