Agatha Ann Wise
Agatha Ann Wise is a Marriage & Family Therapist in Orange, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2016
- Specialties on file
- 2
Practice location Address checks out
500 City Pkwy WOrange, CA 92868-2941
Phone: (714) 916-8601
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 4000 W Metropolitan Dr # 120, Orange, CA 92868-3504 — (714) 972-3700
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X (CA) |
|---|---|
| Marriage & Family Therapist | Taxonomy 106H00000X (CA) |
Record details
| NPI number | 1275080129 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | September 8, 2016 |
| Last updated in NPPES | August 30, 2022 |
| Certification date | August 30, 2022 |
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