Bradley G. Wise, LICDC-CS
Bradley G. Wise, LICDC-CS is an Addiction (Substance Use Disorder) Counselor in Mansfield, Ohio. Licensed in Ohio. Registered with an NPI since 2014.
- Licensed in
- OH
- In the registry since
- 2014
Practice location Address checks out
1150 N Main StMansfield, OH 44903-9718
Phone: (419) 526-2000
Fax: (419) 524-8022
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 954172 (OH) |
|---|
Record details
| NPI number | 1194139980 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | LICDC-CS |
| Sole proprietor | No |
| NPI enumerated | June 19, 2014 |
| Last updated in NPPES | June 19, 2014 |
| Mailing address | Po Box 788, Mansfield, OH 44901-0788 |
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